Question:

Do eligible clinicians working at independent diagnostic testing facilities (IDTFs) or independent laboratories need to participate in MIPS in 2017?

Answer:

The MIPS payment adjustment applies to Medicare Part B items and services furnished by a MIPS eligible clinician at the TIN/NPI level. Since facilities aren’t eligible to participate, services billed under an IDTF or an independent laboratory aren’t eligible for MIPS.

However, Medicare Part B services billed outside of an IDTF or independent laboratory by eligible clinicians (using a TIN/NPI combination) are eligible for MIPS. Suppliers of IDTF services (such as a portable X-ray company) and independent laboratories aren’t included in the definition of a MIPS eligible clinician or required to participate. There may be times when a MIPS eligible clinician would furnish the professional part of a Part B covered service that’s billed by a supplier. Right now, we’re not able to use those services for payment determination. 

For more information please view  2017 Quality Payment Program Frequently Asked Questions