Following ASA’s advocacy efforts in 2012, CMS created a hardship exemption for anesthesiologists for five years in the publication of the Meaningful Use Stage 2 Final Rule. Beginning with the first MIPS performance period on January 1, 2017, this blanket exemption for anesthesiologists who had a specialty designation under the Provider, Enrollment, Chain and Ownership System (PECOS) designation of “05” will no longer apply.
Under MIPS, there are several exceptions for MIPS eligible clinicians that would reweight the Advancing Care Information performance category, including:
For exceptions 1 and 2, ECs can check their exemption statuses on the Quality Payment Program website.
CMS requires an exception application for exception 3, 4 and 5 listed above. Practices and individuals are required to submit an exception application each year to be eligible for the reweighting.
A CMS exception application will be available online prior to the payment adjustment period (first payment period is 2019 based upon 2017 performance period).
You can also find CMS Resources here and ASA FAQs here for all things MACRA.