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    • MIPS
  • Merit-Based Incentive Payment System

  • How to Report Under MIPS

    Under the Merit-Based Incentive Payment System, the Center for Medicare & Medicaid Services evaluates providers' performance based on four weighted categories. 

    • Quality (formerly PQRS) — 30%
    • Promoting interoperability (formerly advancing care information) — 25%
    • Cost (formerly the value-based modifier) — 30%
    • Improvement activities — 15%

    2022 MIPS

    • EyeNet’s MIPS 2022: A Primer and Reference
    • MIPS Guides
      • 2022 MIPS Roadmaps with separate sections for small and large practices
      • Solo/Small Practice Survival and Quick Start Guide
    • IRIS® Registry Preparation Kit (updated annually)

    MIPS Tips

    A quick look at what you need to know or do to be successful with MIPS reporting

    • MIPS Archive: Roadmaps and articles from previous years
  • MIPS 2022

    Get tips on using the registry and learn how to sign up.

    Read the manual

    Quality Measures

    See all quality measures for the Merit-Based Incentive Payment System.

    Find a measure

    IRIS® Registry

    Find out how the Academy's clinical data registry can help you avoid future penalties..

    Learn more

  • MIPS and Medicare Deadlines

    • June 15, 2022 – Deadline to Register for EHR Integration with IRIS Registry
    • Aug. 31, 2022 – Deadline to Earn MOC MIPS Credit with Improvement Project
    • Sept. 1, 2022 –  Deadline to add new physicians/locations for reporting via IRIS Registry-EHR integration for current year
    • Oct. 3, 2022 – Last Day to Start 90 Day Reporting Period for Improvement Activities and Promoting Interoperability
    • Oct. 31, 2022 – Deadline to Submit Mapping Requests With IRIS Registry
    • Oct. 31, 2022 – Deadline for New Practices to Register for Manual Reporting With IRIS Registry
    • Dec. 31, 2022 – Last Day to Apply for Hardship Exemption
    • Jan. 31, 2023 – Last day to sign IRIS Registry data-release consent form, complete all data entry
    • March 31, 2023 – Deadline to submit data through CMS portal 
  • 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.

  • The Academy Store
    2022-2023 Basic and Clinical Science Course, Complete Print Set
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    2022-2023 Basic and Clinical Science Course, Section 01: Update on General Medicine
    2022-2023 Basic and Clinical Science Course, Section 02: Fundamentals and Principles of Ophthalmology
    2022-2023 Basic and Clinical Science Course, Section 03: Clinical Optics and Vision Rehabilitation
    2022-2023 Basic and Clinical Science Course, Section 04: Ophthalmic Pathology and Intraocular Tumors
    2022-2023 Basic and Clinical Science Course, Section 05: Neuro-Ophthalmology
    2022-2023 Basic and Clinical Science Course, Section 06: Pediatric Ophthalmology and Strabismus
    2022-2023 Basic and Clinical Science Course, Section 07: Oculofacial Plastic and Orbital Surgery
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    2022-2023 Basic and Clinical Science Course, Section 11: Lens and Cataract
    2022-2023 Basic and Clinical Science Course, Section 12: Retina and Vitreous
    2022-2023 Basic and Clinical Science Course, Section 13: Refractive Surgery
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