• MIPS 2018—What’s New for Quality

    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


    What’s New in Quality

    Here are some of the biggest changes to MIPS quality reporting.

    Reduced contribution to final score. The quality performance category now contributes up to 50 points to your MIPS final score (down from 60 points in 2017).

    Report 1 year of data. The performance period for quality is now the full calendar year (up from 90 days in 2017).

    Report on more patients. The data completeness criteria is now 60% of applicable patients for each measure (up from 50% in 2017).

    For large practices, quality measures now have a floor of 1 point. If you don’t meet the data completeness criteria for a measure, and you are reporting as part of a large practice, you will score 1 point (down from 3 points in 2017); if reporting as part of a small practice, you will score 3 points (same as last year).

    More measures available for automated reporting via IRIS Registry/EHR integration. You can now report 17 of the ophthalmology-specific QCDR measures via IRIS Registry/ EHR integration, but only if the IRIS Registry is able to extract the relevant data from your EHR system. However, these measures do not yet have benchmarks, so points may be limited unless CMS is able to establish a benchmark using 2018 reported data. Review at-a-glance tables (PDF) of both the standard (Table 11) and QCDR (Table 12) quality measures that can be reported via the IRIS Registry, or browse those measures online.

    Six topped out measures now have a ceiling of 7 points. Most of these measures aren’t relevant to ophthalmology, but 1 of them might be used by some ophthalmology practices— measure 224: Melanoma: Overutilization of Imaging Studies in Melanoma.

    A new bonus for improved performance. If you reported the quality performance category in 2017, you may be able to score points for improved performance in 2018.  

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    Previous: What's New: Low-Volume Threshold Went Up; Practice Size Is Now Based on Historic Data.

    Next: What’s New for Promoting Interoperability (Formerly Advancing Care Information).

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