MIPS Tip Tuesday:
Starting next year, nurse practitioners, physician assistants, clinical nurse specialists and certified registered nurse anesthetists will be subject to MIPS as well. The only time they will be excluded is if they are a newly enrolled Medicare provider or if they meet the low-volume thresholds (Medicare Part B allowed charges less than or equal to $30,000 a year OR sees 100 or fewer Medicare Part B patients a year).
This means that mid-levels will also need to participate in the Advancing Care Information (ACI) portion of MIPS (also known as the new MU). In today’s world, mid-levels are excluded from the current Meaningful Use program. Starting next year, if a mid-level provider doesn’t report on the ACI measures (in the event there are not sufficient measures applicable and available), CMS will assign a weight of zero to the Advancing Care Information performance category, and the Quality category will become over-weighted to 85 percent!
CMS encourages all NPs, PAs, CNSs and CRNAs to report on the ACI measures to the extent they are applicable and available; however, CMS states that it understands that some NPs, PAs, CNSs and CRNAs may choose to accept a weight of zero for this performance category if they are unable to fully report the ACI measures.
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Diana Strubler, Policy and Standards Senior Manager, joined Acumen in 2010 as an EHR trainer then quickly moved into the role of certification and health IT standards subject matter expert. She has successfully led Acumen through three certifications while also guiding our company and customers through the world of Meaningful Use, ICD-10 and PQRS.