This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page.
Problem with the Immunization Registry Reporting measure. In the promoting interoperability (PI) performance category, both the PI measure set and the 2018 PI transition measure set include an Immunization Registry Reporting measure that can contribute 10% toward your performance score. During the course of 2017, CMS realized that there were parts of the country where immunization registries aren’t available. This meant that some MIPS eligible clinicians, through no fault of their own, could score on 1 fewer performance score measures than their colleagues in other parts of the country.
CMS introduces an alternative to the Immunization Registry Reporting measure. New this year, CMS offers an alternate way to earn the 10% performance score that is associated with the Immunization Registry Reporting measure: Engage with any single clinical data registry, such as the IRIS Registry, or with a public health agency and then report 1 of the measures listed below:
From the 2018 PI transition measure set: Syndromic Surveillance Reporting or Specialized Registry Reporting.
From the PI measure set: Syndromic Surveillance Reporting, Electronic Care Reporting, Public Health Registry Reporting, and Clinical Data Registry Reporting.
If you are planning to use this alternative to the Immunization Registry Reporting measure, keep in mind the following:
- It is capped at 10%. It can’t contribute more to your performance score than the Immunization Registry Reporting measure would have done (10%), no matter how many measures you report or how many agencies and registries you report to. (However, you can earn a 5% registry/agency bonus for reporting to a second registry or agency.)
- It is available to all. You can use this alternative even if an immunization registry is available to you.
- No double dipping. You cannot earn points in both the performance score and bonus score by reporting to the same public health agency or clinical data registry.
Previous: PI: Next, You Can Earn a Performance Score.
Next: PI: 3 Bonuses Are Available.
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