CMS will soon begin data validation and audits (DVAs) of MIPS eligible clinicians and groups to confirm the accuracy and completeness of reported data. If a participant is selected for the DVA, an email will be sent from MIPS_DVA_Request@guidehouse.com to the assigned Security Official in the participant’s Health Care Quality Information Systems Access, Roles, and Profile (HARP) account. CMS urges practices to review that contact information is up to date in the HARP system.
MIPS eligible clinicians selected for a DVA can expect notification starting October 2024 through April 2025. They will then have 45 days to provide the requested substantive, primary source documents. Failure to do so could result in a payment adjustment and may also increase the possibility of being selected for future DVAs. Also note that if a third-party is used for MIPS data submission, MIPS eligible clinicians are accountable for ensuring that all requested audit documentation is provided in a complete and timely manner.
Additional information about the DVA process can be found in this CMS fact sheet.
