This content was excerpted from EyeNet’s MIPS Manual 2017.
MIPS in Practice
The e-Talk listserv has been used to share tips on implementing MIPS, such as those discussed in these posts.
e-Talk: “Our first focus has been on the quality section. Since the measures have not significantly changed [from what they were in PQRS], we have not had to do a great deal of EHR workflow training this year. We are working on reinforcement and making sure that doctors and scribes understand not only the measure definition but also the place in the record where we are capturing the information. We use drop-down lists to improve compliance. Free texting often makes for a better reading record but not necessarily one that we can successfully map to the IRIS Registry.”
e-Talk: “MIPS quality is so much easier than PQRS. For ACI, we are following the same protocol we did for meaningful use last year. But we have steps put into our systems to alert us when all the requirements are not met. The front desk will alert the techs to make sure it gets done. Also, using IRIS Registry will be the key this year. It is easy to routinely check on those IRIS Registry reports and see how we are doing.”
e-Talk: “Will have a 1-page form that goes with the charge ticket to have the physician check off that he has completed all the requirements We will be reporting for 90 days through both claims-based reporting and manual data entry into IRIS Registry.” (Editor’s note: Using 2 reporting mechanisms is a belt-and-suspenders approach: If you fail with 1 reporting mechanism, you may succeed with the other.)
e-Talk: “It is hard to rely on the fact that your provider is capturing all of the appropriate boxes to satisfy the requirements. We have created a triple-check system to make sure this gets done. With our EHR system, there is a final page that will tell you if it passed CQMs or not. We have made the scribes responsible to make sure it has ‘passed.’ Then at checkout, we utilize a 1-sheet intake form that follows the patient. On that form, we have a pass/fail portion. The person at checkout will double-check that this patient indeed passed the requirements. Then we have a billing person, who makes sure that the pass/fail is completed on that intake form. This is our triple check! Included in that is the fact that they all also double-check that the HPI is complete, the ROS is complete, and the History is complete, so that it also assures correct billing as well. This is all part of the pass/fail test. If one of these things or the CQMs is not passing … it goes back to the tech immediately to be corrected. Killing 2 birds with 1 stone!” (Editor’s note: If you report quality via IRIS Registry/EHR integration or via your EHR vendor, you will use electronic Clinical Quality Measures [eCQMs]. These measures were originally developed for the EHR meaningful use program and also were used for the PQRS program.)
e-Talk: “Report as much as you can as often as you can! ‘Overachieve’ per my clinical manager. We might as well get comfortable now in preparation for next year.”
How to Access e-Talk
The e-Talk listserv is confidential and unmoderated, and it is only open to members of the American Academy of Ophthalmic Executives (aao.org/member-services/join). Go to aao.org/practice-management and click “Listservs.”
Next: MIPS Tips from e-Talk: Tracking Your MIPS Performance
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