Merit-based Incentive Payment System (MIPS)

The Centers for Medicare and Medicaid Services (CMS) announced Nov. 2, 2017, that it will expand the low-volume threshold (LVT) that exempts some Medicare providers from having to report under the Merit-based Incentive Payment System (MIPS).

For 2018, providers who treat 200 or fewer Medicare Part B beneficiaries or bill Medicare Part B for $90,000 or less in allowed charges will not be required to report under MIPS. The low-volume threshold was increased from the 2017 threshold of 100 or fewer Medicare Part B beneficiaries and $30,000 or less in allowed charges (not regular fee).

The low-volume threshold will probably exempt most chiropractic offices from having to report under MIPS.

Check Your MIPS Participation Status

If you are unsure about what your allowed charges are, this is explained in great detail in our Medicare Payment Course.