• Medicare has changed how it reimburses physicians. Launched in 2017, the Merit-Based Incentive Payment System (MIPS) is intended to emphasize value over volume. It is the most significant shift in Medicare’s physician payment system since 1997. Your Academy will help you succeed throughout this transformation.


  • New CMS Requirement

    For practices without an electronic health record (EHR) system reporting quality for 2018 MIPS manually through the IRIS® Registry, the Centers for Medicare and Medicaid Services now requires that you must also submit additional data to the IRIS Registry, including:

    1. The total number of patients eligible for each measure
    2. The total number of patients excepted from each measure

    Updated January 2019: CMS recently clarified that it does not require the total number of patient exclusions.

     
  • How to Report the Revised Fee-for-Service Option

    Under the Merit-Based Incentive Payment System, CMS evaluates providers' performance based on four weighted categories in 2019. See our analysis of the final rule for 2019.

    Implementation Timeline

    • January 2017 – CMS begins to evaluate physicians’ performance, based on the requirements outlined under the two Quality Payment Program options.
    • January 2019 – Physicians receive first pay adjustment under the new system, based on 2017 performance.

    Our Commitment to Your Success

    The Academy's physician leaders are working with policymakers in Washington, D.C., to secure ophthalmologists' success under the new system.

    We continue to identify and address parts of the program that don't work for ophthalmologists. We're working with medicine, Congress and federal regulators to ensure the system supports you and your patients.