MIPS Audits Are Here: What You Need to Know

Beginning this month, Centers for Medicare and Medicaid Services (CMS) will conduct data validation and audits of a select number of Merit-based Incentive Payment System (MIPS) eligible clinicians for performance years 2017 and 2018. Practices targeted will receive a request for information from CMS’ contractor Guidehouse via certified mail or email. Those selected for audit will have 45 days from the date of the notice to provide the requested information.

If your practice is selected for an audit, you are encouraged to share your experience with MGMA. We will use this information to identify challenges practices face during the audit process and share concerns and recommendations directly with CMS. Visit the QPP Resource Library for information on the criteria for data validation for both performance years 2017 and 2018.

Article provided by the Medical Group Management Association.