5. What if I do not meet either the QP or PQ thresholds? Do I have to participate in MIPS? Yes, you must participate in MIPS to avoid a negative payment adjustment. If you do not meet QP or PQ thresholds, then it is likely that the APM Entity you are a part of (for example, an ACO) is participating in MIPS using the MIPS APM scoring standard. To learn more about MIPS APMs please see PAI’s MIPS APM Overview available on PAI’s QPP Resource Center. Pages Advanced APM QP/PQ Thresholds1. How are the QP/PQ thresholds determined?2. Do I have to meet both the Medicare patient count and payment amount QP/PQ thresholds?3. What is the difference between a QP and PQ?4. How do I know if I am a QP or PQ?5. What if I do not meet either the QP or PQ thresholds? Do I have to participate in MIPS? Comments are closed.