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2018 MIPS Reporting Checklist Confirm Eligibility Description Comments/Action Physicians (including doctors of medicine, doctors of osteopathy, osteopathic practitioners, doctors of dental surgery,
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The MIPS Participation Fact Sheet is a document that providers use to inform CMS about their participation status in the Merit-based Incentive Payment System (MIPS), which is part of the Quality Payment Program.
Healthcare providers who are eligible for MIPS and want to report their participation must file the MIPS Participation Fact Sheet.
To fill out the MIPS Participation Fact Sheet, providers need to provide information about their practice, including their National Provider Identifier (NPI), tax identification number, and details regarding their participation in the MIPS program.
The purpose of the MIPS Participation Fact Sheet is to communicate to CMS the provider's participation status, which helps determine their eligibility for incentive payments and compliance with MIPS requirements.
Information that must be reported includes the provider's NPI, the tax identification number, the MIPS reporting mechanism, and the clinician's participation status for the reporting year.
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