This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page.
Use this to-do list to make sure that you are using all the key MIPS resources from the Academy, the American Academy of Ophthalmic Executives (AAOE), and the Centers for Medicare & Medicaid Services (CMS).
Step 1. Bookmark aao.org/medicare. From this hub page, you can navigate to a rich range of ophthalmic-specific resources, including:
- reporting options
- measure type
- lists of relevant ICD-10, CPT Category I, HCPCS, and CPT Category II codes
Step 2. Make the IRIS Registry your one-stop shop for MIPS reporting. The IRIS Registry is a unique MIPS reporting mechanism: It is free for Academy members, it focuses exclusively on ophthalmology, and it offers subspecialty-specific QCDR quality measures.
IRIS Registry/EHR integration minimizes the reporting burden. If you integrate your electronic health record (EHR) system with the IRIS Registry, you can use an automated process to extract the data that are needed for reporting the quality performance category. Furthermore, at the end of the performance year, the IRIS Registry will determine which measures are likely to give you the highest score for quality. (Not only does this help you participate in MIPS, it also will accelerate ophthalmic research.)
The IRIS Registry web portal can meet all your MIPS reporting needs. If you don’t have an EHR system, you can report MIPS quality measures and the subspecialty-specific QCDR quality measures manually via the IRIS Registry web portal. Promoting interoperability measures and improvement activities can only be reported manually. The IRIS Registry User Guide explains how to manually report quality measures, attest to promoting interoperability measures (formerly advancing care information), and attest to improvement activities.
IRIS Registry staff monitor changes to the MIPS regulations. Physician payment regulations are constantly in flux. When there are changes to MIPS, IRIS Registry staff—working closely with the AAOE’s coding specialists and with regulatory experts at the Academy’s D.C. office—determine how those changes specifically impact ophthalmology, and they update the IRIS Registry accordingly.
Make sure you are signed up for the IRIS Registry at aao.org/iris-registry. If you aren’t already participating in the IRIS Registry, there was a June 1 deadline for signing up for IRIS Registry/EHR integration; if you are only interested in manual reporting via the IRIS Registry web portal, you have until Nov. 7 to register for that. If you sign up for IRIS Registry/EHR integration, you don’t have to sign up separately for the web portal. (Note: After EyeNet's MIPS manual went to press, this registration deadline was changed from Oct. 31 to Nov. 7.)
Step 3. Check your email. Each Thursday, the Washington Report Express will help to keep you current on all the latest regulatory developments. And watch for Medicare Physician Payment Update on the first Saturday of each month.
Step 4. Use the email hotline. You can send MIPS questions to firstname.lastname@example.org.
Step 5. Share tips and crowdsource solutions via the AAOE’s e-Talk. If you are a member of the AAOE (join at aao.org/member-services/join), you can use the e-Talk listserv to find out how other practices are tackling MIPS.
Step 6. Schedule yourself some MIPS time at AAO 2018. If you are attending AAO 2018 in Chicago (Oct. 27-30, 2018), sit in on this year’s MIPS sessions. You also can bring your MIPS questions to the Academy Resource Center (Booth 508), where you can also ask for an IRIS Registry demo.
Step 7. Bookmark aao.org/eyenet/mips-manual-2018. Review quick overviews of the 4 performance categories: Quality, promoting interoperability (formerly advancing care information), improvement activities, and cost. Also view at-a-glance lists (PDF) of the standard MIPS quality measures (Table 11) and the QCDR quality measures (Table 12) that include live links to the Academy’s dedicated web pages for those measures. You can also download similar PDFs of the 2018 promoting interoperability transition measure set (Table 15 [PDF]), the promoting interoperability measure set (Table 16 [PDF]) and the improvement activities (Table 17 [PDF] and Table 18[PDF]).
Step 8. Watch the Quick MIPS series. EyeNet’s Quick MIPS presentations are succinct—generally 5 minutes or less—and to the point.
Step 9. Explore the CMS resources. CMS provides recorded webinars, fact sheets, benchmark data, and more at its MIPS hub page and at its MIPS Resource Library. If you are in a small practice, you can request some free assistance from CMS.
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.
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