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CMS Posts 2018 Patient-Facing Codes

January 26, 2018

McDermott+Consulting

Codes Used to Identify Non-Patient Facing Clinicians for MIPS

The Centers for Medicare and Medicaid Services (CMS) posted the list of codes used to identify non-patient facing clinicians for the purposes of the Merit-based Incentive Payment System (MIPS). Clinicians who bill 100 or fewer patient-facing encounters (including Medicare telehealth services) are considered non-patient facing. Groups are considered non-patient facing if more than 75 percent of its clinicians have 100 or fewer patient-facing encounters (including Medicare telehealth services). Non-patient facing clinicians and groups are required to participate in MIPS, but have alternative reporting requirements to account for the potential of limited applicable measures and activities available to these clinicians. For example, non-patient facing clinicians have reduced reporting requirements for the Clinical Improvement Activities Performance Category.

  • The 2018 Patient-Facing Codes Fact Sheet is available here
  • A list of the 2018 Patient-Facing codes are available here (Excel spreadsheet will download)

For more information visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459, smadhani@mcdermottplus.com.

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