To determine and rate quality and cost measures based on administrative claims data, CMS has established the following approach for calculating and scoring these measures at the TIN level within the affiliate group, rather than at the subgroup level. Foundational Layer: If a population health measure is chosen, subgroups will receive the corresponding group’s score, […]

A group of a collective that includes at least one clinician eligible for the Merit-based Incentive Payment System (MIPS), distinguished by a composite of the group’s Taxpayer Identification Number (TIN), the subgroup identifier, and the National Provider Identifier (NPI) of each qualified clinician.   Eligibility: The determination of eligibility for clinicians who wish to participate […]