We have a couple of different scenarios of ACO Track 1 participation;
Thanks for these questions. Group-level reporting decisions must be made for each TIN, and how one TIN reports would not impact another TIN. TINs participating in an MSSP ACO are required to report ACI data at the TIN-level, and that data would be evaluated at the ACO-level. If a group reports at the TIN-level, the low-volume threshold would be assessed at the TIN-level, which means all clinicians billing under that TIN would either all be excluded or none would be excluded. You can look up MIPS participation information evaluated at the NPI and TIN levels at the CMS website.
I hope this information is helpful! If you have more questions about your scenario, please feel free to reach out to firstname.lastname@example.org.
© 2003-2017 MGMA, All Rights Reserved