
Your Guide to 2023 MIPS Reporting
Participation Options

- Individual
- Group
- Virtual Group
- Subgroup
- APM Entity
Individual
Traditional MIPS
- APM Performance Pathway (APP) (must be a MIPS APM Participant)
- MIPS Value Pathway (MVP)
Group
Traditional MIPS
- APM Performance Pathway (APP) (must be a MIPS APM Participant)
- MIPS Value Pathway (MVP)
Virtual Group
- Traditional MIPS
Subgroup
- MIPS Value Pathway (MVP) (requires advance registration)
APM Entity
Traditional MIPS
- APM Performance Pathway (APP) (must be a MIPS APM Participant)
- MIPS Value Pathway (MVP)
Eligible Clinician Types
Physicians (including doctors of medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, and optometry) • Osteopathic practitioners • Chiropractors • Physician assistants • Nurse practitioners • Clinical nurse specialists • Certified registered nurse anesthetists • Physical therapists • Occupational therapists • Clinical psychologists • Qualified speech-language pathologists • Qualified audiologists • Registered dietitians or nutrition professionals • Clinical social workers • Certified nurse midwives
Low Volume Threshold (LVT)
Eligible clinicians and groups may opt-in if they meet at least one of the LVT criteria





Special Status
Automatic reweighting continues to apply to MIPS eligible clinicians, groups and virtual groups with following special statuses:
Ambulatory Surgical Center (ASC) – based
Hospital – based
Non patient facing
Small practices
Rural
HPSA (Health Professional Shortage Area)
Reminder: More than 75% of the clinicians in a group with a special status must be MIPS-eligible clinicians
Performance Thresholds
to avoid a negative adjustment of -9%
Data Completeness
Greater than 70% for maximum scoring
Less that 70% renders no scoring for large practices, 3 point floor for small practices
Available Bonus Points
6 – Small practice (must submit at least one measure)
Up to 10 – based on your improvement in the quality performance category from the previous year