• MIPS 2018—Nuts and Bolts: Focusing on MIPS

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

    This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page


    Now in its second year, the Quality Payment Program (QPP) is Medicare’s system for adjusting payments based on clinician performance, with your 2018 performance impacting your 2020 payments.

    The Quality Payment Program provides 2 pathways: MIPS and APMs. You can participate either in the Merit-Based Incentive Payment System (MIPS) or in an advanced alter­native payment model (advanced APM). MIPS includes a hybrid option—the MIPS APM—for clinicians who are in certain types of accountable care organization (see “APMs in Brief”). Advanced APMs are limited for ophthalmology, so most Academy members will be MIPS participants.

    Academy tools and resouces focus on MIPS. Advanced APMs are limited for ophthalmology, so most Academy members will be MIPS participants.

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    Next: Nuts and Bolts: 4 Performance Categories.

    Note: 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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