Nov. 22, 2023, News Staff — Recognizing that physician practices may not have fully recovered from setbacks they suffered at the height of the COVID-19 pandemic or may be experiencing other extreme difficulties, CMS’ Quality Payment Program is once again offering physicians the opportunity to apply for exceptions to meeting Merit-based Incentive Payment System program requirements for the 2023 performance year. Applications must be received by 8 p.m. ET on Jan. 2, 2024.
MIPS-eligible clinicians, groups and virtual groups may be able to apply for one of two possible exceptions. In certain instances, exceptions may be granted automatically, as noted below.
Clinicians may request reweighting for any or all performance categories by applying for the MIPS Extreme and Uncontrollable Circumstances Exception. CMS defines “extreme and uncontrollable circumstances” as rare events entirely outside of clinicians’ control and the control of the facility in which they practice. Examples would be circumstances that
Alternative payment model entities also may apply for an EUC exception, but they must request that all performance categories be reweighted.
Alternately, clinicians may request that only the promoting interoperability performance category be reweighted to 0% by applying for the MIPS Promoting Interoperability Performance Category Hardship Exception. To qualify, practices must
CMS automatically reweights the promoting interoperability category for small practices of 15 or fewer eligible clinicians. Clinicians can review whether they’ve been determined to be a small practice in the QPP Participation Lookup Tool.
APM entities are not eligible to apply for the promoting interoperability performance category exception.
MIPS-eligible clinicians located in a CMS-designated region that has been affected by an EUC event (e.g., an event the Federal Emergency Management Agency has designated as a major disaster) during the 2023 performance year will receive the automatic EUC exception. The automatic EUC exception policy does not apply to groups, virtual groups or APM entities.