Physicians Advocacy Institute

Frequently Asked Questions Updated for 2021


5. Medicare Part B revenue for each physician in my group is less than $90,000 annually, but collectively, the group exceeds this amount. How will CMS determine if my group is exempt from MIPS?

  1. If your practice elects to participate in MIPS at the group level, it will be subject to MIPS participation. However, if the practice decides that each physician participate at the individual physician level, each individual physician will be exempt from MIPS participation due to the low-volume threshold (however, each physician has the option to opt-in to MIPS participation if they exceed one or two of the low-volume threshold criteria).

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