• MIPS 2018—Improvement Activities: Decide How You Will Report

    Written By: Rebecca Hancock, Flora Lum, MD, Chris McDonagh, Cherie McNett, Jessica Peterson, MD, MPH, and Sue Vicchrilli, COT, OCS

    This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page


    Consider reporting as a group. You can report improvement activities either as an individual, as a group, or as a virtual group. When you report as a group (or virtual group), all MIPS eligible clinicians who participate in that group (or virtual group) will receive the same score for improvement activities. And if at least 1 of those clinicians satisfies the requirements for a particular improvement activity, then the whole group can score points for that activity. Note: You must participate in MIPS in the same way—as an individual, a group, or a virtual group—for all MIPS performance categories.

    Select a reporting mechanism. The Academy recommends that you attest to your improvement activities performance via the IRIS Registry, but you also can use the CMS web portal, or possibly your electronic health record (EHR) vendor (ask your vendor whether it will offer this option).

    You attest that you successfully completed improvement activities. Whichever reporting mechanism you choose, it is your responsibility to attest that you appropriately completed the improvement activities that you choose to perform. If that mechanism is run by a third party (e.g., the IRIS Registry), the third party simply reports to CMS what you attested—the third party is not confirming that you did in fact complete those improvement activities. Note: You also should document your performance of those activities so you’ll be prepared for a possible audit in the future.

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    Previous: Improvement Activities: How You’ll Be Scored.

    Next: Improvement Activities: Select, Perform, and Document Your Activities.

    Note: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

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