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? You can choose to report individually and be exempt from MIPS participation or as a group and be subject to MIPS participation; however, all physicians in your group must participate in the same manner. For example, in a practice of 10 physicians all under the same TIN, the practice can elect to participate at the group level (the group of 10 physicians would collectively have to meet the specific requirements for each category) or decide that each of the 10 physicians would report as individual physicians (each physician would have to meet the specific requirements for each category). Half the physicians in the group cannot participate as individuals and be exempt while the other half participate as a group and are subject to MIPS participation. In this case, even if half of the physicians participate in MIPS as a group, the MIPS performance score and payment adjustment would be applied to all physicians under that group TIN. 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.