• MIPS 2018—PI: Exclusions Available for Some Base Score Measures

    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


    Toward the end of the 2017 performance year, CMS added exclusions for 2 base score measures from the 2017 ACI transition measure set and for 3 base score measures from the ACI measure set. These exclusions have been carried over to the 2018 performance year.

    If you are eligible for a measure’s exclusion, you’ll be able to attain the base score even though you don’t meet the requirements of that measure.

    Are these exclusions available if you are reporting as part of a group? Yes. When reporting as a group, you need to aggregate data for all the eligible clinicians in that group for whom you have data in CEHRT. If one of those clinicians meets the exclusion criteria for a measure, his or her data can be excluded from the calculation of that particular measure.

    Exclusions for Base Score Measures from the 2018 PI Transition Measure Set

    Exclusion for the Health Information Exchange measure if you transfer a patient to another setting or refer a pa­tient fewer than 100 times during your PI performance period.

    Exclusion for the e-Prescribing measure if you write fewer than 100 prescriptions during your PI performance peri­od. (This won’t apply to many ophthalmologists.)

    Exclusions for Base Score Measures from the PI Measure Set

    Exclusion for e-Prescribing measure if you write fewer than 100 prescriptions during your PI performance period.

    Exclusion for the Send a Summary of Care measure if you transfer a patient to another setting or refer a patient fewer than 100 times during your PI performance period.

    Exclusion for the Request/Accept Summary of Care measure if you can claim this exclusion if you receive transitions of care or referrals or have patient encounters in which you have never before encountered the patient fewer than 100 times during your PI performance period.

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    Previous: PI: First, Meet Promoting Interoperability’s Base Score Requirements.

    Next: PI: Next, You Can Earn a Performance Score.

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