Clinicians and groups eligible for the Merit Based Incentive Program (MIPS) have until Dec. 31 to apply for the 2018 Promoting Interoperability (PI) Hardship Exception or the MIPS Program Extreme and Uncontrollable Circumstances Exception.
Providers in small practices (15 or fewer providers) or whose EHR technology has been decertified can apply for the PI Hardship Exception. If you’re a small practice, are required to participate in MIPS and don’t have an EHR, you should submit this application. If approved, your PI performance category score won’t count toward your final MIPS score.
If you or your group is impacted by an extreme and uncontrollable circumstance, you may submit a request for reweighting of the Quality, Cost, Improvement Activities and/or PI performance categories. The Centers for Medicare & Medicaid Services (CMS) defines extreme and uncontrollable circumstances as “rare events (highly unlikely to occur in a given year) that are outside of your control and the facility in which you practice.” When applying for this exception, you must indicate the performance categories subject to an extreme and uncontrollable circumstance.
However, if you’ve been affected by Hurricane Florence, Hurricane Michael or the California Wildfires, CMS will not require you to submit an Extreme and Uncontrollable Circumstances application. CMS will automatically identify MIPS-eligible clinicians in these areas based on their address in the Provider Enrollment, Chain, and Ownership System. These providers will automatically receive a score resulting in a neutral payment adjustment for the 2020 MIPS payment year – unless you submit certain MIPS data. More information can be found in the MIPS Automatic Extreme and Uncontrollable Circumstances Policy fact sheet.
For more information and to submit an application, visit CMS' Quality Payment Program webpage.