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Q: Is there a recommendation for the best way to advise a clinician whether it is worthwhile in terms of effort and time to only report quality measures and avoid a penalty or work toward an incentive/bonus and report Improvement Activities? We have practitioners asking for an equation or process they can use in helping to determine this.

January 9, 2019January 9, 2019 hartjohnsonPosted in MIPS FAQ's

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Q: Is there somewhere online that a clinician can determine if he/she falls into the low volume threshold by NPI number?
Q: It says we are excluded if we bill $90,000/year or less. I’m assuming that’s $90,000 in charges after the contractual sets in. So as a clinic with 2 PT’s billing under 1 TIN, is the exclusions cap $180,000 in billed charges or is it still $90,000 for the whole clinic? If it’s $180,000, then if 1 therapist bills $91,000 and the other bills $85,000 are we still excluded?
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