Skip to main content

  • MIPS 2019—Fundamentals: Which Reporting Mechanism?

    Add to My Bookmarks

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

    Factors to consider when selecting your reporting mechanism:

    • If you use multiple reporting mechanisms for reporting quality measures, when CMS calculates your quality score it will use the six measures that earn you the highest score and—new this year—it can use measures reported with different reporting mechanisms (e.g., it could use two measures that were reported with claims-based reporting and four measures that were reported manually via the IRIS Registry).
    • You don’t have to use the same reporting mechanism for all performance categories.

    Table 3: Selecting Your Reporting Mechanism(s)

    Reporting Mechanism Can Be Used to Report: Need EHR?
    Medicare claims Quality (only an option if you are in a small practice; available for individual- or group-level reporting) No
    CMS QPP portal manual reporting Promoting interoperability,* improvement activities (available for individual- or group-level reporting) No
    IRIS Registry manual reporting Quality, promoting interoperability,* improvement activities (available for individual- or group-level reporting) No
    IRIS Registry–EHR integration Quality (available for individual- or group-level reporting) Yes
    EHR vendors Contact your vendor to confirm which performance categories you can report through them; ask about reporting deadlines and fees Yes

    Note: For the cost performance category, your score will be based on Medicare administrative claims data.

    * Although you can report promoting interoperability measures via the IRIS Registry web portal or the CMS QPP attestation portal, you also need a 2015-edition CEHRT to perform the PI measures.

    Previous: Fundamentals: Four Performance Categories

    Next: Fundamentals: Bonuses and Penalties

    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© 2019, 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®.

    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).