Excluded, but not exempt from MACRA.
In 2017, CMS excluded clinicians from MACRA reporting with less than $30,000 in Medicare Fee Schedule billing. For 2018, CMS proposes to increase the low-volume threshold to $90,000, which means two-thirds of all clinicians could be excluded from MACRA reporting.
However, this does not exclude clinicians from the 2015 wage freezes enacted by the legislation. Excluded clinicians can expect to lose 18 percent of purchasing power by 2016. Furthermore, reputations are at risk when these clinicians scores cannot be viewed on Physician Compare.