• MIPS 2018—PI: Some Exceptions Are Automatic

    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

    Hospital- and ASC-based clinicians get an automatic exception. CMS will automatically excuse hospital-based clinicians and ambulatory surgical center (ASC)–based clinicians from having to report the PI performance category. Clinicians are assigned to those categories if, based on a review of historic data, at least 75% of their covered professional services have Place of Service codes that represent hospitals or ASCs, respectively. CMS has said that it will notify you if it deter­mines that you are a hospital- or ASC-based clinician. 

    NPs, PAs, CNSs, and CRNAs get an automatic exception. Nurse practitioners, physician assistants, clinical nurse specialists, and certified registered nurse anesthetists weren’t part of the EHR meaningful use program. Consequently, CMS isn’t sure whether they have enough applicable measures to succeed at PI and has automatically excused them from ACI in 2017 and PI in 2018. 

    Non–patient-facing clinicians get an automatic exception. If you don’t interact with patients face-to-face and fall under the definition of non–patient-facing MIPS eligible clinician, CMS will automatically apply the significant hardship exception.


    Previous: PI: Some Exceptions May Be Applied For.

    Next: PI: The 2018 Promoting Interoperability Transition Measure Set.

    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®.