• MIPS 2018—Nuts and Bolts: Which Reporting Mechanism?

    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


    Six factors to consider when selecting your reporting mechanism:

    • For each performance category, select 1 reporting mechanism.
    • You don’t have to use the same reporting mechanism for all performance categories.
    • Group-level reporting: For a given performance category (e.g., improvement activities), everyone within the group must use the same reporting mechanism (e.g., the IRIS Registry web portal).
    • Reporting via Medicare claims is only available for individual-level reporting, not group reporting.
    • Whether or not you have an EHR system, the least burdensome and the most ophthalmology-focused MIPS reporting option is the IRIS Registry.

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

    Table 2: Selecting Your Reporting Mechanism(s)

    Reporting Mechanism Can Be Used to Report: Need EHR?
    Medicare claims Quality No
    CMS web portal Quality, promoting interoperability,* improvement activities No
    IRIS Registry web portal Quality, promoting interoperability,* improvement activities No
    IRIS Registry/EHR integration Quality Yes
    EHR vendor Quality,† promoting interoperability,† improvement activities† Yes

    *Although you can report promoting interoperability (formerly ACI) via the IRIS Registry web portal or the CMS web attestation portal, you also need a certified EHR technology to perform the promoting interoperability measures.

    †Contact your EHR vendor to confirm which performance categories, as well as which measures and activities, you can report through them; also ask the vendor for its reporting deadlines.

    ___________________________

    Previous: Nuts and Bolts: 4 Performance Categories.

    Next: Nuts and Bolts: How your 2018 MIPS Final Score (0-100 Points) Impacts Your 2020 Payments.

    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.

    COPYRIGHT© 2018, 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 are trademarks of the American Academy of Ophthalmology®.