MIPS Eligibility in 2018

A young boy visiting the hospital for a check-up

All Medicare clinicians will find themselves in the MIPS in 2018 unless they meet any one of the following exclusion criteria:

  1. See more than 200 Medicare beneficiaries in one year

  2. Receive payment in excess of $90,000 in allowed Medicare Part B changes

  3. Are in their first year of Medicare participation

  4. Meet the patient volume or payment requirements to be Qualifying Participant or Partially Qualifying Participant in an Advanced Alternative Payment Model.

  5. Are excluded to a hardship exemption