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CMS extends MIPS hardship exemption in 2023

| | April 17, 2023

CMS extends MIPS hardship exemption in 2023

In great news for allergy practices required to participate in MIPS, CMS announced physicians and group practices can apply for a 2023 MIPS Extreme and Uncontrollable Circumstances (EUC) hardship exception to avoid up to a -9% MIPS penalty in 2025. The exception will not be automatic, and interested allergists and groups must actively request reweighting of all four MIPS performance categories due to the COVID-19 public health emergency to avoid a MIPS penalty in 2025. CMS is expected to release the hardship exception application this spring.

This is a huge relief to many allergists, as CMS estimated in the final rule that up to one-third of MIPS-eligible clinicians would receive a penalty due to the challenging requirements to participate in MIPS in 2023.

You can apply for the exemption whether reporting  traditional MIPS  or the APM Performance Pathway (APP). Be sure to select “COVID-19 PHE” as the reason for the EUC.

How do I Apply?
You must have a Health Care Quality Information System (HCQIS) Access Roles and Profile (HARP) account to complete and submit an exception application on behalf of yourself, or another MIPS-eligible clinician, group, virtual group or APM Entity. For more information on HARP accounts, please refer to the “Register for a HARP Account” document in the QPP Access User Guide (ZIP). The MIPS EUC exception application period will open in the spring of 2023. The date has not been determined.

The Advocacy Council – ADVOCATING FOR ALLERGISTS AND THEIR PATIENTS.

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