Medicare | 2019 MIPS Automatic Extreme and Uncontrollable Circumstances Policy Update
MIPS eligible clinicians who have not submitted any MIPS data by April 30, 2020, do not need to take any additional action to qualify for the automatic extreme and uncontrollable circumstances policy. These clinicians will be automatically identified and receive a neutral payment adjustment for the 2021 MIPS payment year. All four MIPS performance categories for these clinicians will be weighted at zero percent, resulting in a score equal to the performance threshold, and a neutral MIPS payment adjustment for the 2021 MIPS payment year. However, if a MIPS eligible clinician submits data on two or more MIPS performance categories, they will be scored and receive a 2021 MIPS payment adjustment based on their 2019 MIPS final score.
CMS will continue monitoring the developing COVID-19 situation and assess options to bring additional relief to clinicians and their staff so they can focus on caring for patients.
Additional 2019 Relief Measure
CMS is also reopening the MIPS extreme and uncontrollable circumstances application for individuals, groups, and virtual groups.
Who should submit an application?
- Individual clinicians who started, but are unable to complete, their data submission;
- Groups that started, but are unable to complete, their data submission; and
- Virtual groups that are unable to start or complete their data submission.