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Quality Payment Program (QPP) Support Center

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Are you eligible for free Assistance?

Our services are free to practices with 15 or fewer MIPS Eligible Clinicians in Delaware, New Jersey, Pennsylvania and West Virginia. Check the list below for your MIPS eligibility and visit CMS' QPP Website for more information.

MIPS Eligible Clinicians in 2017

  • Physician (MD, DO, DDS, DMD, DPM, OD, DC)
  • Physician Assistant
  • Nurse Practitioner
  • Clinical Nurse Specialist
  • Certified Registered Nurse Anesthetist
  • Must bill Medicare Part B using own NPI number
  • Must bill Medicare Part B for more than $30,000/year AND see > 100 Medicare patients/year
  • Includes non-patient facing clinicians, such as pathologists, radiologists, anesthesiologists, and nuclear medicine

Non-Patient Facing Clinicians:

  • A non-patient facing MIPS EC is an individual who bills ≤ 100 patient-facing encounters (including Medicare telehealth services) during one of the determination periods.
  • A non-patient facing group is when > 75 percent of the NPIs billing under the group’s TIN meet the definition of a non-patient facing individual MIPS eligible clinician during one of the determination periods.
  • The two determination periods when CMS will identify non- patient facing individuals and groups are:
  • 9/1/15 through 8/31/16 and 9/1/16 through 8/31/17.