Medicare Physician Payment

MIPS Reporting for 2021

Each year the stakes are higher and the rules change. Stay current and start 2021 with the tools you need for a successful 2021 MIPS performance year. In this webinar, Academy experts, Flora Lum MD, vice president, Quality and Data Science; Molly Peltzman, academy manager, IRIS® Registry; Joy Woodke, COE, OCS, OCSR, Academy coding and practice management executive, outline the 2021 Merit-Based Incentive Payment System (MIPS) final rule, including the overview of the MIPS system. 

The Basics

• What CMS calls the new policy: Quality Payment Program (QPP)
• Where it came from: Congress passed sweeping reform under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to replace the sustainable growth rate.
• What this policy does: It ties Medicare payments to quality and value.
• When it takes effect: Performance evaluation began in 2017, with pay adjustments in 2019.
• Fee-for-service option: Merit-Based Incentive Payment System (MIPS), which combines existing quality-reporting programs with some new elements. Most ophthalmologists will likely have to use this option.
• Alternative payment model option: These new approaches to paying for the medical care of Medicare patients incentivize quality and value. Few qualifying models currently exist for ophthalmologists.

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.