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  • MIPS 2019—Improvement Activities: Decide How You Will Report

    This content was excerpted from EyeNet’s MIPS 2019; also see the Academy’s MIPS hub page

    Consider reporting as a group. You 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. If at least one of those clinicians satisfies the requirements for a particular improvement activity, the whole group can score points for that activity. (See "Report as an Individual or as Part of a Group?")

    Decide how you will attest. You can attest to your improvement activities performance via the IRIS Registry, the CMS QPP portal, or possibly your EHR vendor (ask your vendor whether it offers this option).

    Attest that you successfully completed improvement activities. However you decide to attest, 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. To be ready for an audit, you also should maintain documentation that proves you performed activities over the required span of 90 days.

    Previous: Improvement Activities: An Overview

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

    DISCLAIMER AND LIMITATION OF LIABILITY: 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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    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).