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    Subspecialties

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    • Neuro-Ophthalmology/Orbit
    • Pediatric Ophthalmology/Strabismus
    • Ocular Pathology/Oncology
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    Subspecialties

    • Cataract/Anterior Segment
    • Comprehensive Ophthalmology
    • Cornea/External Disease
    • Glaucoma
    • Neuro-Ophthalmology/Orbit
    • Pediatric Ophthalmology/Strabismus

     

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    • Oculoplastics/Orbit
    • Refractive Management/Intervention
    • Retina/Vitreous
    • Uveitis

    Focus On

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    • Quality Measures
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    • 2016 PQRS Measures
  • Cornea Measures

    All Measures
    Measure 1: Diabetes: Hemoglobin A1c Poor Control
    Measure 12: Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation
    Measure 14: Age-Related Macular Degeneration (AMD): Dilated Macular Examination
    Measure 18 (NQF #0088): Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
    Measure 19: Diabetic Retinopathy: Communication with the Physician Managing On-going Diabetes Care
    Measure 110 (NQF 0041): Preventive Care and Screening: Influenza Immunization
    Measure 111 (NQF 0043): Pneumonia Vaccination Status for Older Adults
    Measure 117: Diabetes: Eye Exam
    Measure 128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up Plan
    Measure 130: Documentation of Current Medications in the Medical Record
    Measure 140: Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
    Measure 141: Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15 Percent or Documentation of a Plan of Care
    Measure 191 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
    Measure 192: Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
    Measure 226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
    Measure 236 (NQF 0018): Controlling High Blood Pressure
    Measure 238: Use of High-Risk Medications in the Elderly
    Measure 265: Biopsy Follow-Up
    Measure 317: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
    Measure 318 (NQF #0101): Falls: Screening for Future Fall Risk
    Measure 374: Closing the Referral Loop: Receipt of Specialist Report
    Measure 388: Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule requiring unplanned vitrectomy)
    Measure 389: Cataract Surgery: Difference Between Planned and Final Refraction
    Measure 402: Tobacco Use and Help with Quitting Among Adolescents
    Measure 419: Overuse of Neuroimaging for Patients with Primary Headache and a Normal Neurological Examination
    IRIS1: Endothelial Keratoplasty - Post-operative improvement in best corrected visual acuity to 20/40 or greater (better)
    IRIS25: Avoidance of antibiotic treatment in patients diagnosed with adenoviral conjunctivitis
  • Cornea Specialists' Guide to MIPS Reporting

  • I have an EHR and want to maximize any bonus

    Submit the best six performing measures including at least one outcome or high priority measure via IRIS Registry or your EHR vendor for the reporting period. A bonus point will be awarded for each measure for electronic reporting. Report on additional outcome or high priority measures to earn additional bonus points. Reporting for a calendar year may result in higher performance rates than reporting for a period of 90 days.

    I do not have EHR and want to avoid a penalty

    With dates of service between Jan. 1 and Dec. 31, 2017 report at least one of the measures via claims or IRIS Registry manual data entry – or both - to assure CMS receives at least one measure. Claims reporting must be done in real time. You must be registered with IRIS Registry by Oct. 31, 2017, and manual data entry must be completed by Jan. 15, 2018.

    I do not have EHR and want to be eligible to earn a small bonus

    IRIS Registry manual data entry

    For 90 consecutive days between Jan. 1 and Dec. 31, 2017 report six measures on at least 50 percent of your qualifying patients regardless of their insurance. One of the six measures must be an outcome or high priority measure as indicated in the list below. Report on additional outcome or high priority measures to earn bonus points. All data must be entered into IRIS Registry by Jan. 15, 2018.

    Claims reporting

    For 90 consecutive days between Jan. 1 and Dec. 1, 2017 report six measures, with at least 50 percent reporting accuracy on all your qualifying patients with Medicare Part B, Medicare as a secondary payer and Railroad Medicare. One of the six measures must be an outcome or high priority measure as indicated in the list below. Report on additional outcome or high priority measures to earn bonus points. Claims reporting must be done in real time. Remember if your claim is denied, your MIPS reporting will be denied also.

    Note: Practices may choose to report both IRIS Registry manual data entry and claims reporting to assure maximum opportunity to achieve any bonus.

    Quality Measure Options for Cornea Specialists 

    Cornea specialists who do not practice comprehensive ophthalmology may choose any of the 25 quality measures identified here. Reporting options include:

    • IRIS Registry EHR
    • EHR through your vendor (Only if offered by your vendor. Check with your vendor as all vendors don’t offer all measures).
    • IRIS Registry group reporting
    • IRIS Registry manual data entry
    • Claims based reporting

    See the Comprehensive Ophthalmologists' Guide page for a complete listing of all ophthalmology specific quality measures.

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