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  • MIPS—What’s New in 2020 for Ophthalmology

    By Chris McDonagh, Senior Editor, EyeNet, and Jessica Peterson, MD, MPH, Academy Manager of Quality and HIT Policy

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    CMS announces some changes. In November 2019, CMS announced some changes to the Merit-Based Incentive Payment System (MIPS) for the 2020 performance year—with a few changes retroactive to 2019. 

    Why MIPS matters? If you don’t participate in MIPS in 2020, your 2022 Medicare Part B payments may be subject to a –9% penalty.

    What's new this year? For a high-level summary of changes, see the 2019 vs. 2020 comparison chart. Also click on the links below for further details (from January’s EyeNet, published online ahead of print) and read MIPS 2020: A Primer and Reference.

    MIPS 2020—What’s New With the 2022 Bonuses and Penalties
    MIPS 2020—What’s New With Quality
    MIPS 2020—Changes to the Quality Measures
    MIPS 2020—What’s New With Promoting Interoperability
    MIPS 2020—What’s New With Improvement Activities
    MIPS 2020—What’s New With Cost
    MIPS 2020—MIPS Final Score Weighting is Same as in 2019
    MIPS 2020—How Do Small Practices Avoid the Payment Penalty?

    Use these key MIPS resources:

    AAOE members also can use the E-Talk listserv to crowdsource answers to their MIPS questions.

    Stay tuned! This article reflects the Academy’s understanding of the regulations at time of press, but CMS policies can change. For MIPS updates, visit the web resources listed above, and check your email for Medicare Physician Payment Update (first Saturday of each month), Washington Report Express (Thursdays), and—if you are an AAOE memberPractice Management Express (Sundays).


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    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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