The Centers for Medicare & Medicaid Services has released a tool to help clinicians determine if they must participate this year in the Merit-based Incentive Payment System, one of two new payment pathways for clinicians under the Medicare Access and CHIP Reauthorization Act of 2015. Physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified registered nurse anesthetists should participate in MIPS for the 2017 transition year if they annually bill more than $30,000 in Medicare Part B allowed charges and provide care for more than 100 Part B-enrolled Medicare beneficiaries. CMS recently sent letters in the mail notifying clinicians of their MIPS participation status. For more on MACRA and MIPS, visit and