You should learn soon whether you meet the 2017 MIPS participation threshold, CMS announced in an April 25 press release. This means you may know sooner — rather than later — if you have to comply with MACRA for the 2017 reporting period.
During the month of May, you will receive a letter from the Medicare Administrative Contractor (MAC) that processes your Medicare Part B claims. This letter will indicate whether you meet the 2017 minimum participation requirements for the Merit-Based Incentive Payment System (MIPS).
Generally, you should participate in MIPS for 2017 if you meet the following benchmarks during the year:
- Bill more than $30,000 in Medicare Part B allowed charges
AND
- Provide care for more than 100 Part B-enrolled Medicare beneficiaries.
If you do not qualify to participate in MIPS for 2017 because you don’t meet this threshold, then your Medicare reimbursement will not be affected — at least for the next few years. Instead, you will be paid the Standard Medicare Payment Rate without adjustment for any Part B charges billed in 2019. After that, you’ll have to wait and see if Centers for Medicare and Medicaid Services (CMS) alters the participation threshold in subsequent years.