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  • MIPS 2019—Fundamentals: Timeline for Performance Year 2019

    Performance Year 2019—Key Dates for CMS and the IRIS Registry

    This content was excerpted from EyeNet’s MIPS 2019; also see the Academy’s MIPS hub page


    Nov. 1 CMS posts the 2019 QPP rule online. It later publishes it in the  Federal Register Vol. 83(226):59542-60303.
    Dec. 31 Deadline to form a virtual group for the 2019 performance year.
    Jan. 1 Start of 2019 performance year.
    June 1 Deadline for new IRIS Registry users to sign agreements for IRIS Registry–EHR integration (if not already integrated).
    Aug. 1 Deadline for integrating your EHR system with the IRIS Registry for automated reporting of 2019 quality data.
    Aug. 31 Deadline for submitting your improvement plan to the American Board of Ophthalmology for the MOC Part IV improvement activity (see "Maintenance of Certification and the IRIS Registry").
    Summer CMS starts accepting applications for (1) extreme and uncontrollable circumstances exceptions and (2) hardship exception to PI performance category
    Summer If you are reporting quality measures manually via the IRIS Registry, you should start entering your data no later than late summer/early fall. Read "Avoid the MIPS Penalty Without EHR: Tips for Reporting Via the IRIS Registry" (October, EyeNet; published online ahead of print).  
    Oct. 3 Last day to start performance period for PI measures and improvement activities.
    Oct. 12-15 AAO 2019: Attend the MIPS events, and visit the Academy Resource Center for help with IRIS Registry reporting.
    Oct. 31 Deadline for new IRIS Registry users to sign agreements to use the IRIS Registry for manual reporting of improvement activities, PI measures, and quality measures.
    Dec. 31

    Application deadline for (1) extreme and uncontrollable circumstances exceptions and (2) hardship exception to PI performance category

    End of 2019 performance year.

    Jan. 31

    Deadline to submit your 2019 IRIS Registry data release consent form.

    Deadline for IRIS Registry users to enter 2019 quality measure data, attest to PI measures, and attest to improvement activities.

    March 31 Last day to submit 2019 MIPS data if reporting directly to the CMS QPP attestation portal.

    CMS will provide you with feedback based on your 2019 performance year data.

    Targeted review starts after release of feedback data.

    Aug. 31 Targeted review ends.
    Dec. 1 CMS must notify MIPS participants of their 2021 payment adjustment factor at least 30 days before the 2021 payment year.
    Jan. 1 Your Medicare Part B reimbursements will be adjusted up or down based on your 2019 MIPS performance.

    CMS Status Determination Dates for Performance Year 2019

    MIPS Pathway
    MIPS Determination Period: Segment 1 Oct. 1, 2017–Sept. 30, 2018 (plus a 30-day claims run out)
    MIPS Determination Period: Segment 2 Oct. 1, 2018–Sept. 30, 2019 (no claims run out)
    APM Pathway
    QP determination snapshot date 1 March 31, 2019*
    QP determination snapshot date 2 June 30, 2019*
    QP determination snapshot date 3 Aug 31, 2019*
    * Based on administrative claims data for services submitted from Jan. 1, 2019 until this date, with a 60-day claims runout.

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    Next: Fundamentals: Four Performance Categories

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