Read EyeNet’s MIPS manual. EyeNet has developed—with support from Regeneron—MIPS 2021: A Primer and Reference. Starting in January, as content for each section was completed, it was posted online (see links below) ahead of print.
Use the updated PDF. An updated version of the EyeNet MIPS manual (PDF) replaces the print version that was distributed in May. The updated was needed because CMS made unscheduled changes to the MIPS quality measures in June.
The Academy can help you succeed at MIPS. The Academy has developed a rich range of ophthalmic-specific tools and resources. Make sure you are signed up to use the IRIS Registry, download the IRIS Registry Preparation Kit, and bookmark the Academy’s MIPS hub page.
CMS UPDATE: Automatic extreme and uncontrollable circumstances policy. On Nov. 10, 2021, CMS announced that it was expanding its response to the COVID-19 public health emergency. It said that it would apply an automatic extreme and uncontrollable circumstances policy to “all individually eligible MIPS eligible clinicians for the 2021 performance year.” This doesn’t apply to “groups, virtual groups, or APM entities.” If you are eligible to participate in MIPS as an individual, CMS has said that you “will have all four MIPS performance categories reweighted to 0% and receive a neutral payment adjustment for the 2023 MIPS payment year unless you 1) submit data in two or more performance categories, or 2) have a higher final score from group or APM Entity participation.” For more information, visit https://qpp.cms.gov/resources/covid19.
Your MIPS Final Score
Reweighting the Performance Categories (includes Table: How the Performance Categories Are Reweighted)
Bonuses and Penalties
Who Does (and Doesn’t) Take Part in MIPS
What’s Your 2021 MIPS Participation Status
Low-Volume Clinicians Can Opt In to MIPS
Small or Large Practice?
Use of TINs and NPIs as Identifiers
Participate as an Individual or as a Group?
Are You In a Small Practice With No EHR?
Key Dates for Performance Year 2021
Your Guide to MIPS Acronyms
Harder to Avoid the Penalty
What’s New With Quality
What’s New With Promoting Interoperability
What’s New With Improvement Activities
What’s New With Cost
Pick Your Collection Type
Reporting Quality Measures
Meet the Data Submission Thresholds
Manual Reporters Via the IRIS Registry Will Need Their Data-Completeness Totals
Scoring: Your Performance Rate Will Be Compared Against a Benchmark
Scoring: Some Benchmarks Are Subject to Scoring Limitations
Scoring: Some Benchmarks Are “Flat”
Scoring: Bonuses for High-Priority Measures and CEHRT
Scoring: You Can Earn an Improvement Percent Score
Scoring: How CMS Calculates Your Quality Score
ICD-10 Turbulence and Changes in Clinical Guidelines
Table: Reporting MIPS Quality Measures via IRIS Registry–EHR Integration
Table: Reporting MIPS Quality Measures Manually via the IRIS Registry
Table: Reporting Quality Measures Via Medicare Part B Claims
PI: An Overview
PI: Your EHR System Must Be a CEHRT
PI: What You Need to Do
PI: How You’ll Be Scored
PI: Some Clinicians May Be Excused From Promoting Interoperability
Table: Promoting Interoperability at a Glance
Table: Promoting Interoperability Exclusions at a Glance
Table: Promoting Interoperability Scoring Methodology
How You’ll Be Scored
How to Report Activities
Select, Perform, and Document Your Activities
Table: Improvement Activities at a Glance
Routine Cataract Surgery With IOL Implantation Measure
Total Per Capita Cost Measure
Medicare Spending Per Beneficiary Measure
Use the IRIS Registry. This free member benefit is eye care’s tool of choice for MIPS.
Stay tuned! This information reflects the Academy’s knowledge of the regulations at time of press, but CMS payment policies can change. For MIPS updates, bookmark the Academy’s MIPS hub page, visit the MIPS-specific news feed, and check your email for:
DISCLAIMER AND LIMITATION OF LIABILITY: 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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