• MIPS 2017—ACI: Introducing ACI

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

    This Practice Perfect content is part of EyeNet’s Guide to MIPS 2017.

    Introducing ACI

    MIPS’ advancing care information (ACI) performance category evolved out of the EHR meaningful use program. Your ACI score is the sum of your base score, performance score, and 2 bonus scores, and is capped at 100%. ACI contributes up to 25 points to your MIPS final score (0-100 points). For instance, an ACI score of 80% contributes 20 points to your MIPS final score.

    4 Scores Contribute to Your ACI Score Key Points
    Base score 0% or 50%

    Mandatory. If your base score is 0%, your entire ACI score will be 0%.

    All or nothing. Successfully report 4 2017 ACI transition measures or 5 ACI measures (see “2017 ACI Transition Measures” and “ACI Measures”) for a 50% score; otherwise, your base score is 0%.

    Reporting requirements are low. For 1 mea­sure, attest that you performed a security risk analysis; for the others, report a numerator of at least 1.
    + performance score 0%-90% Flexibility. Report up to 7 2017 ACI transition measures or up to 9 ACI measures. Some mea­sures are required, but most are optional.
    + registry bonus score 0% or 5% Use the IRIS Registry. If you integrate your EHR system with the IRIS Registry, you can success­fully report a registry bonus measure.
    + CEHRT for improvement activities bonus score 0% or 10% Two-for-one. If you use CEHRT functionality to complete an improvement activity, that activity will contribute to your improvement activities score and earn a bonus for your ACI score.
    ACI score Capped at 100% ACI score = base score + performance score + registry bonus score + CEHRT bonus score.

    ACI’s Place Within MIPS

    Your 2017 MIPS final score (0-100 points) is typically based on 3 scores.

    Quality score contributes up to 60 points to your MIPS final score. The quality performance category replaces the PQRS.

    Advancing care information (ACI) score contributes up to 25 points.

    Improvement activities score contributes up to 15 points. This category is entirely new.

    For more on MIPS, go to aao.org/medicare and aao.org/mips.

    Use the IRIS Registry

    This summer, the IRIS Registry plans to open its web portal to support ACI reporting. At that time, you will be able to submit your ACI attestation and also report the 2 other performance categories—quality and improve­ment activities—that will contribute to your MIPS final score for the 2017 performance year. (Note: IRIS Registry participation is not sufficient to satisfy ACI’s requirements; you must use your CEHRT to meet ACI’s required measures.)

    IRIS Registry deadlines. If you haven’t already integrated your EHR system with the IRIS Registry, sign up by June 1, 2017, and complete integra­tion by Aug. 1, 2017. Next, enter your ACI information into the IRIS Registry web portal no later than Jan. 15, 2018.


    This content is excerpted from Part 3: How to Report Advancing Care Information (Practice Perfect, March 2017 EyeNet; published online in advance of print), which is part of EyeNet’s Guide to MIPS 2017. Part 3 includes Introducing ACI, 6 Key Facts2017 ACI Transition Measures, ACI Measures, and MIPS vs. Meaningful Use.

    Note: This content was based on the information available at time of press, at which point CMS was still publishing its subregulatory guidance.

    Use These Resources
    Academy resources include:

    Sign up for the IRIS Registry, which will be the tool of choice for MIPS reporting.