CMS scores a MIPS eligible clinician's performance on measures and activities in accordance with section 1848(q)(5) of the Act and regulations at 414.1317, 414.1365, 414.1367, and 414.1380, as applicable to determine a final score for each MIPS eligible clinician
Considerations must also be directed towards safeguarding the Medicare Trust Funds and ensuring that CMS satisfies any statutory requirements under section 1899(i)(3) of the Act
(2) Establishing the Performance Threshold (a) Statutory Authority and Background As discussed above, to determine a MIPS payment adjustment factor for each MIPS eligible clinician for a year, we must compare the MIPS eligible clinician's final score for the given year to the performance threshold we established for that same year in accordance with section 1848(q)(6)(D) of the Act
We note that understanding the barriers to utilizing these codes is important, as these codes will serve as the base codes for HCPCS code GIDXX, and will need to be billed by the infectious disease physician prior to billing HCPCS code GIDXX
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