MIPS 2021 Eligibility
To be a MIPS-eligible physician for the year 2021, a physician must:
- Be an eligible clinician type;
- Be enrolled in Medicare before January 1, 2021;
- Not be identified as a qualifying APM participant (APM is one QPP program; MIPS is the other); and
- Exceed a low-volume threshold. A clinician must exceed the low-volume threshold by providing care to Medicaid patients that is above a certain volume. Volume has three components: the amount of allowed charges billed to Medicare; the amount of Medicare patients a provider has provided services to; and the number of covered professional services furnished by the provider).
What To Do If You Are MIPS-Eligible for 2021
If you are MIPS-eligible for 2021, you must submit data for the quality, improvement activities, and promoting interoperability performance categories. CMS collects and calculates data for the cost performance category.
Performance across the MIPS performance categories, each with a specific weight, will result in a MIPS Final Score from 0 to 100 points.
The categories for performance year 2021 are weighted as follows: