MIPS data collection begins January 1, 2017. However, CMS provided some flexibility to help eligible clinicians (ECs) ease their way into the brave new world of MIPS. By choosing one of the following participation options, ECs can avoid a payment penalty in 2019.
Option 1: Submit Something
As long as you report some data after January 1, 2017, you will not be subject to a negative payment adjustment in 2019. This option is intended to allow you to test your software, while getting your practice fully on board MIPS in 2018. If you’re using Eyefinity EHR or ExamWRITER, this is a slam dunk.
- Pros: Very low threshold; avoid a 2019 payment penalty
- Cons: No financial incentive
Option 2: Partial Participation
If you submit 90 days of 2017 data to Medicare, you may earn a neutral or small positive payment adjustment. Under this option, you would submit quality measure information for part of the year, report how your practice uses technology, and report on your practice improvement activities. If you’re using Eyefinity EHR or ExamWRITER, and if you implement a practice improvement initiative, there’s no need to sweat it.
- Pros: Low threshold; similar to current incentive programs; possible financial incentive
- Cons: Small incentive payment
Option 3: Participate for the Full Calendar Year
There are some ECs who are eager to jump right into MIPS. If that’s you, start your reporting period on January 1. Under this option, you would submit quality measure information for the full year, report how your practice uses technology, and report on your practice improvement activities. If you’re using Eyefinity EHR or ExamWRITER, you will be able to report MIPS for the entire year.
- Pros: Similar to current incentive programs; possibility for higher financial incentive
- Cons: Higher threshold
Masoud Nafey, OD