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Decision Guide

Guide to MIPS Participation and Special Statuses

Providers can use the Quality Payment Program (QPP) Lookup Tool to determine their Merit-Based Incentive Payment System (MIPS) participation and special statuses (e.g., hospital based, non-patient facing, practicing in a rural or Health Professional Shortage Area [HPSA], and/or small practices). This guide explains how providers can apply this information to determine their MIPS reporting requirements.

First, establish whether MIPS participation is required for your organization. Second, assess your eligibility for special statuses that may result in reduced reporting requirements in certain MIPS performance categories. Finally, use this guide for action items on how you should move forward in your MIPS reporting strategy.

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