MIPS defines a group practice as a single Tax Identification Number (TIN) with two or more individual clinicians (as identified by Individual National Provider Identifier [NPI]) that have reassigned their billing rights to the TIN.
For 2018, groups are able to choose from a list of available data submission mechanisms (some options vary based on performance category) including:
• CMS Web Interface (only available to groups with 25 or more eligible clinicians)
• Qualified Clinical Data Registry (QCDR)
• Qualified Registry
• Electronic Health Record (EHR)
• CAHPS for MIPS survey (only available to groups with 2 or more eligible clinicians)
Between April 1 and June 30, 2018 registration is open for groups planning to participate in MIPS via the CMS Web Interface or Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS survey. Only these 2 submission options require registration.
If your group registered for the CMS Web Interface in 2017 to report for MIPS, CMS automatically registered your group to use the CMS Web Interface in 2018 for MIPS. If your group would like to participate through another data submission option, you should “cancel” your election in the registration system between April 1- June 30, 2018. Please note if under MIPS you elected the CAHPS for MIPS survey in 2017, you were not automatically registered to administer the CAHPS for MIPS survey in 2018, and will need to log in to the registration system to make that election.
To register or update your group's information, you must have a valid Enterprise Identity Management (EIDM) account with a ‘Physician Quality and Value Programs’ role.
Click here for more information regarding the CMS Web Interface.
Improvement Activities – Attest for at least 4 improvement activities for a minimum of 90 days (rural practitioners or groups with < 15 providers attest to at least 2 activities). There are over 90 activities to choose from: List of Improved Activities. If you participate in an Advanced APM (Alternative Payment Model), automatically earn full credit. In any other APM, automatically ear half-credit in this category.
VIA QUALIFIED REGISTRY/QCDR - With the AAAAI QCDR, you can meet all three MIPS categories criteria that require reporting (Quality, Advanced Care Information, and Improvement Activities). Pricing details available at www.aaaai.org/qcdr.
NEW! VIA VIRTUAL GROUP - is a combination of two or more TINs. There must be at least 1 MIPS eligible clinician for the TIN to participate. TINs can be from any specialty as long as they agree to report together. There is a CMS election process to participate in a virtual group. Find full details on the Virtual Group Factsheet and Election Process.