COVID-19 Hardship Exemption for Nephrologists Participating in MIPS

By David White

December 7, 2020

 

Participating clinicians should begin the application process now.

The Centers for Medicare and Medicaid Services (CMS) has announced that it is accepting the impact of COVID-19 as a condition for applying for an Extreme and Uncontrollable Circumstances exemption in the Merit-based Incentive Payment System (MIPS). 

For the 2020 performance year (PY), Medicare will be using its Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, and virtual groups to submit an application requesting reweighting of one or more MIPS performance categories due to the current COVID-19 public health emergency. To provide additional support to clinicians, the agency is extending the extreme and uncontrollable circumstances application deadline for PY 2020 to Monday, February 1, 2021 at 8 p.m. ET.

MIPS is one of two payment tracks in CMS’ Quality Payment Program (QPP) along with Advanced Alternative Payment Models.  MIPS is a mandatory quality pay-for-performance program, except for clinicians excluded due to certain criteria such as low volume of Medicare patients, where clinicians report their performance on four categories of measures: Quality, Promoting Interoperability, Improvement Activities, and Cost.

A total of 7,120 nephrologists are identified in MIPS in 2018, according to the AMA Physician Masterfile (December 2017).  Excluding nephrologists who did not report MIPS data in 2018 for various reasons, the participating number was 6,117.

Interested clinicians who believe they qualify for this exemption are encouraged to begin the application process now.

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Author:
David White
Body:

 

Participating clinicians should begin the application process now.

The Centers for Medicare and Medicaid Services (CMS) has announced that it is accepting the impact of COVID-19 as a condition for applying for an Extreme and Uncontrollable Circumstances exemption in the Merit-based Incentive Payment System (MIPS). 

For the 2020 performance year (PY), Medicare will be using its Extreme and Uncontrollable Circumstances policy to allow clinicians, groups, and virtual groups to submit an application requesting reweighting of one or more MIPS performance categories due to the current COVID-19 public health emergency. To provide additional support to clinicians, the agency is extending the extreme and uncontrollable circumstances application deadline for PY 2020 to Monday, February 1, 2021 at 8 p.m. ET.

MIPS is one of two payment tracks in CMS’ Quality Payment Program (QPP) along with Advanced Alternative Payment Models.  MIPS is a mandatory quality pay-for-performance program, except for clinicians excluded due to certain criteria such as low volume of Medicare patients, where clinicians report their performance on four categories of measures: Quality, Promoting Interoperability, Improvement Activities, and Cost.

A total of 7,120 nephrologists are identified in MIPS in 2018, according to the AMA Physician Masterfile (December 2017).  Excluding nephrologists who did not report MIPS data in 2018 for various reasons, the participating number was 6,117.

Interested clinicians who believe they qualify for this exemption are encouraged to begin the application process now.

Date:
Monday, December 7, 2020