Merit-Based Incentive Payment System (MIPS) for Ophthalmology

Work with Able Health to track performance for MIPS and submit data to CMS

The first performance period for the Medicare Merit-Based Incentive Payment System (MIPS) began January 1, 2017. With CMS combining multiple Medicare Part B programs into one performance-based payment system, provider organizations must stay on top of requirements in order to maintain and increase Medicare payments over the next decade. Able Health can greatly reduce the administrative cost of participating in MIPS and help you improve performance in order to maximize your payment adjustment.MIPS is a budget-neutral program with an additional $500 million pool allocated for exceptional performers. Providers who prepare ahead of their peers will be able to earn higher payment adjustments and bonuses

MIPS in a Box

Track performance using patient-level data

Able Health calculates quality measures using patient-level data from EHRs, claims, and other sources. Easily enter performance data for Cost, Advancing Care Information, and Improvement Activities to track your MIPS Composite Performance Score over time. If you are participating in a MIPS APM, Able Health can replace MIPS measures with applicable measures from your APM.

Educate your team about MIPS as they use the product

In-app tooltips and articles explain how measures are calculated, how to form a valid quality measure set, how the Composite Score is calculated, and more—when and where you need it. Our guidance can reduce the cost of training, time to research requirements, and the negative impact of potential mistakes.

Improve performance with care tools

Identify clinicians and patients who need your attention—and take action to improve performance. Deliver scorecards to clinicians, including patient-level measure results and EHR source records. Generate call lists of patients who need care, including specific actions required for each patient.

Submit directly to CMS

Submit data across the four performance categories to CMS via the Able Health Qualified Registry. When you track performance throughout the year, end-of-year reporting becomes a simpler—and cheaper—task.

Quality Measures for Ophthalmology

Able Health can calculate and submit all registry measures in the Ophthalmology specialty-specific measure set, which are listed below.

Click here to view all MIPS measures across the Quality, Advancing Care Information, and Improvement Activities performance categories

ID Name Type High Priority
384 Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery Outcome Yes
385 Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery Outcome Yes
140 Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement Process No
014 Age-Related Macular Degeneration (AMD): Dilated Macular Examination Process No
047 Care Plan Process Yes
191 Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery Outcome Yes
192 Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures Outcome Yes
303 Cataracts: Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery Outcome Yes
304 Cataracts: Patient Satisfaction within 90 Days Following Cataract Surgery Outcome Yes
389 Cataract Surgery: Difference Between Planned and Final Refraction Outcome Yes
388 Cataract Surgery with Intra-Operative Complications (Unplanned Rupture of Posterior Capsule Requiring Unplanned Vitrectomy) Outcome Yes
374 Closing the Referral Loop: Receipt of Specialist Report Process Yes
117 Diabetes: Eye Exam Process No
019 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care Process Yes
018 Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy Process No
130 Documentation of Current Medications in the Medical Record Process Yes
317 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Process No
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Process No
012 Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation Process No
141 Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care Outcome Yes
402 Tobacco Use and Help with Quitting Among Adolescents Process No

Select a Different Specialty

Select your specialty to find MIPS measures supported by Able Health relevant to your specialty.