• MIPS Tip: Consider Using an Eye Visit Code Instead of an E/M code


    MIPS Tip: Consider Using an Eye Visit Code Instead of an E/M code

    A patient never sees their primary care physician during the year. The patient ends up having emergency gall bladder surgery.

    If the only E/M code billed during the year is from your ophthalmic exam, the cost of the emergency surgery is attributed to you. Had you chosen an Eye visit code rather than an E/M code, you could have avoided the cost being attributed to your score.

    Under MIPS, the Centers for Medicare & Medicaid Services evaluates providers on four categories, one of which is cost.