• MIPS Manual 2017—MIPS Tips from e-Talk: Planning for MIPS

    Written By: participants in the AAOE’s e-Talk listserv

    This content was excerpted from EyeNet’s MIPS Manual 2017.


    In May, the American Academy of Ophthalmic Executives (AAOE) organized a “MIPS week” on e-Talk. The listserv’s participants were asked to share their strategies for tackling MIPS, and they responded with the following posts.

    e-Talk: “Pick your pace—2017 is the year of flexibility when considering the new MIPS program. If you successfully submit a quality measure, you will avoid the penalty in 2019. Consider maximizing points in all the categories to use 2017 as a year to learn more about this program. What do you have to lose?”

    e-Talk: “We developed a committee and have reviewed each performance category of MIPS and chose our measures/activities. The committee meets bimonthly and consists of IT, an administrator, a billing manager, a tech supervisor, and a physician representative.”

    e-Talk: “For the quality measures, with extra points I think we will be in the high 40s to 50s of the 60 points available. For improvement activities and ACI portions of MIPS we must make other efforts. For us, the ACI portion is the most challenging.” (Editor’s note: For ACI, you can earn the 5% registry bonus by integrating your EHR system with the IRIS Registry; IRIS/EHR integration will also help you satisfy several improvement activities [see Table 7, which is a downloadable PDF].)

    e-Talk: “We identified all the measures and boxes we needed to tick to go well above and beyond any threshold (we’re hedging our bets in case something goes wrong and we miss something), and our clinical manager monitors our numbers at least weekly. We had in-service meetings with the doctors, techs, and scribes to make sure they were clicking any appropriate box in our EHR; we reviewed work-up protocol; and we discussed proper terminology and documentation to coincide with the mapping between our EHR and the IRIS Registry [for IRIS Registry/EHR integration].”

    e-Talk: “Not all or nothing: Good news with MIPS and the quality reporting category! Even if you don’t meet a measure, you will still receive some points for reporting. Look for opportunities to receive extra credit like submitting additional high-priority measures.”

    e-Talk: “Our practice participates in a Medicare Shared Savings Program Track 1 Accountable Care Organization [ACO]. Most ACOs, like ours, are currently Track 1 and do not bear financial risk and, therefore, are not considered advanced alternative payment models [APMs] by CMS. Although the ACO will report quality measures for our practice, we still plan to report our practice’s quality measures using the IRIS Registry. In the unlikely event the ACO does not report quality measures successfully, CMS will be able to use the measures we report so that we can avoid any penalty payment for our practice.”

    How to Access e-Talk

    The e-Talk listserv is confidential and unmoderated, and it is only open to members of the American Academy of Ophthalmic Executives (aao.org/member-services/join). Go to aao.org/practice-management and click “Listservs.”

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    Next: MIPS Tips from e-Talk: MIPS in Practice

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