6. When will CMS notify individuals who are exempt in 2021? You can use the CMS NPI lookup tool to help you determine your eligibility. To use the tool, you will need to know your 10-digit national provider identification (NPI) number. It is important to note that CMS will conduct two reviews to determine MIPS participation eligibility. If you are exempt from MIPS with the first review, you will not need to do anything else for the remainder of the year. If you are not exempt from MIPS with the first review, you may be exempt with the second review at the end of 2021. Pages MIPS Participation Eligibility and Exclusions1. How will the low volume exclusion be determined – at the individual or the group level?2. Is the low-volume threshold for allowed charges or Medicare paid amount?3. Are physicians and other eligible clinicians who practice in Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs) exempt from MIPS?4. For the purposes of the MIPS exemption, does the low-volume threshold apply to Medicare Advantage patients too?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?6. When will CMS notify individuals who are exempt in 2021?7. Even if I am exempt from MIPS participation, can I still report? If so, am I eligible for / subject to an adjustment? What are the pros and cons of reporting if exempt?8. Is the low-volume threshold based on what was billed / number of patients seen in 2020, or will it be 2021?9. If we are a group of 4 physicians and as a group TIN we do not meet the low volume qualifications, but individually we all qualify as low volume, can we elect to report individually and avoid MIPS?10. What happens if I change practices? Comments are closed.