Practice Management: MACRA Quality Payment Program Update

The Centers for Medicare and Medicaid Services (CMS) recently announced that it will send letters to physicians regarding their status and need to participate in the Merit-based Incentive Payment System (MIPS). Ob-gyns should have received a letter from the Part B contractor that normally processes their claims in mid-May.  Individuals and groups who bill more than $30,000 in Medicare Part B allowed charges a year and provide care for more than 100 Part B-enrolled Medicare beneficiaries a year are expected to participate in MIPS, unless they are participating in an Advanced Alternative Payment Model (APM).  To see a sample letter, go to CMS’s education webpage and click on the “MIPS Participation Status Mailing.” 

Additionally, CMS launched a new tool on its website that allows you to enter your National Provider Identifier (NPI) number to determine whether you are exempt. It will also be able to determine whether your practice is exempt based on the NPIs that bill under the practice’s Tax Identification Number (TIN). 

CMS is also now accepting registrations to report through the CMS Web Interface for groups with 25 or more eligible clinicians and to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS survey through June 30, 2017. 

For more information about the interface or CAHPS survey, visit CMS’s website. You can also visit for information on ob-gyn-specific information.

American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998