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  • Using the 2023 Quality Measures Benchmarks Table

    If you're submitting quality measure data for the Merit-Based Incentive Payment System (MIPS), you'll first need to determine which reporting mechanism you’ll be using.

    After you've decided, review the measures available on the table below for that reporting mechanism (you’ll want to report at least six). The more measure achievement points you earn, the more likely you are to avoid any penalty.

    1. On the first pass of this chart, pick as many measures that allow you to earn up to 10.0 measure achievement points without any gaps (no stalled measures and no capped measures).
    2. Make sure at least one of them is classified as outcome or intermediate outcome.
    3. On the second pass, pay attention to the collection type. The easiest and most reliable way to report is through the IRIS Registry®, but you can also report through other collection types. See EyeNet®'sMIPS 2023 Primer and Reference explanation of collection types. Note; If you want to report eCQMs via the IRIS Registry–EHR integration or via an EHR vendor, you must generate your quality measure data using an EHR system that has 2015 Cures Update certification. On your third and final pass, if reporting through IRIS Registry-EHR integration or manual web entry, consider reporting IRIS QCDR measures that are without benchmarks in addition to your main selection. If you choose to report them, you will be assisting with the benchmarking for future years. This will give ophthalmic practices a greater selection of measures that reflect their everyday practice and can provide potentially more points than many other MIPS measures that are topped out.

    Download the Table (PDF)

    • To earn achievement points based on your performance rate, you must first meet the two data submission thresholds. When selecting quality measures, look for measures where you are most likely to a) satisfy the case minimum of 20 patients, b) satisfy the 70% data submission threshold, and c) achieve a high performance rate.
    • Make sure you’re using the current version of this chart. If you’ve printed this table, always check to make sure you’re using the most current version.
    • Check your data mapping. If you are reporting via IRIS Registry–EHR integration, you can only report a measure if the relevant data elements can be extracted from the EHR system. There is a July 1 deadline to select measures for data mapping, and Oct. 31 is the last day to request mapping refinements for those measures. If mapping is successful, you should check your mapping regularly throughout the year. 

    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.

    Copyright © 2024, American Academy of Ophthalmology Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology®.

    All of the American Academy of Ophthalmology-developed quality measures are copyrighted by the Academy's H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).

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