• 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.

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