This content is excerpted from “MIPS 2023, Part 2” (EyeNet, February 2023). EyeNet’s MIPS content, including its MIPS 2023 supplement, is being published online ahead of print as it becomes available.
CMS is expanding the information that will be posted on Care Compare (https://medicare.gov/care-compare), the website that publishes information on your MIPS performance.
Telehealth indicator. CMS plans to indicate whether individual clinicians offer telehealth services. To identify whether you are providing such services, the agency would check whether your reimbursement claims include modifier –95 or Place of Service codes “2” or “10.” The agency hopes to add this feature during 2023.
Utilization data for certain services and procedures. To help patients who are looking for a physician who performs certain types of services or procedures, CMS plans to add utilization data to the profile pages of individual clinicians. The website will explain that this utilization data only represents care provided to Medicare patients.
The agency hopes to start reporting this data in 2023, initially focusing on procedures that: 1) are affiliated with MIPS measures and/or 2) are likely to come up in patient searches and/or 3) have evidence of a positive relationship between quality and volume and/or 4) are prioritized by the Department of Health and Human Services.
CMS will use a taxonomy system—the Restructured Berenson-Eggers Type of Service (BETOS) Classification System—to try to group codes from your Medicare claims into categories and subcategories that will make sense to patients.
Previous: What’s New With Improvement Activities
Next: MVPs Versus "Traditional MIPS"
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.
COPYRIGHT© 2023, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology®.