Individual pathologists and group practices can now check their eligibility for the 2018 MIPS performance year by using the QPP PARTICIPATION LOOKUP TOOL as the CMS will no longer send out eligibility letters to physicians.
The CMS updated its QPP Participation Lookup Tool so that pathologists can check if they are eligible as a MIPS participant or if they are a Qualifying APM participant. Previously, pathologists had to check their MIPS eligibility and APM status separately keeping in mind that the APM status took precedence over their MIPS eligibility.
To use the tool, pathologists can enter their National Provider Identifier (NPI) to find out both at the same time if they need to participate in MIPS in 2018 and if they are reporting as an APM or an eligible MIPS participant clinician.
Pathologists can also check 2018 MIPS clinician eligibility at the group level and APM Predictive qualifying physician status at the APM entity level. In order to determine group eligibility, clinicians need their ENTERPRISE IDENTITY DATA MANAGEMENT (EIDM) and Taxpayer Identification Number (TIN) credentials. Here are the steps to use the tool:
- Log into the QPP website with your EIDM credentials
- Browse to the TIN affiliated with your group
- Access the details screen to view the eligibility status of every clinician based on their NPI
- Download the list of all NPIs associated with your TIN, including eligibility information for each NPI