AOA MORE: Vendor updates, new MIPS guidance

AOA MORE: Vendor updates, new MIPS guidance

Data is the name of the game when it comes to Medicare's new payment program, which is why AOA offers doctors of optometry support in collecting reporting requirements through the profession's qualified clinical data registry (QCDR).

"AOA MORE allows optometry to advocate for optometry. It will help us with MIPS and help prove that we’re providing quality care."

AOA MORE (Measures and Outcomes Registry for Eyecare), by Prometheus Research, helps users navigate performance measures and demonstrate clinical practice improvement activities set forth under the Centers for Medicare & Medicaid Services' (CMS) new Merit-Based Incentive Payment System (MIPS), and fosters collection of optometry-specific data that can be used to advocate for the profession.

Already, some 6,850 doctors enrolled for AOA MORE, as of August 2017, to leverage its power in becoming a better MIPS clinician, and in June, the AOA released a new resource to underscore this priority. The MIPS Guidebook for Evaluating and Tracking Your Progressprovides step-by-step guidance and tips on meeting program requirements for both EHR users and those who don't use EHR.

As quality performance data becomes increasingly invaluable, not only for meeting program requirements for reimbursement, but also for benchmarking personal performance against peers, the AOA is working to assure AOA MORE and its EHR vendors are up to date.

When will I be able to access my data on my AOA MORE dashboard?

Annually, CMS makes changes to quality reporting requirements that require registries and EHR companies to update the technology that doctors use. For 2017, the AOA provided EHR vendor partners with these changes, and vendors are working to update their systems to support 2017 reporting. Although the timing of when AOA MORE doctors may begin to see 2017 data varies, the AOA and EHR vendors anticipate that doctors will have access to their 2017 data through the AOA MORE portal during the following timeline:

  • Compulink - late summer/early fall
  • Crystal Practice Management - late summer
  • EyefinityEHR - late fall
  • Maximeyes - late summer/early fall
  • Office Mate Exam Writer - late August
  • Practice Director - late August
  • Revolution - late summer/early fall

This year, many EHR vendors are completing time-consuming, federal government EHR certification requirements that have delayed implementation of the required changes to support AOA MORE. Email notifications will be sent when AOA can onboard users of each vendor. To ensure you receive email notifications, make sure your email address is up to date in your My AOA account.

Why engage with AOA MORE?

In 2017,  CMS exempted most doctors of optometry (60 percent) from MIPS participation, based on its low-volume threshold exclusion-Medicare Part B allowed charges less than or equal to $30,000/year, or 100 or fewer Medicare Part B patients. And in proposed changes for the 2018 MIPS reporting year, CMS goes further. While not final policy, for 2018 CMS has proposed to exempt doctors with fewer than $90,000 in Part B allowed charges, or 200 or fewer Part B beneficiaries per year. So, with an increasing number of doctors of optometry potentially excluded from MIPS, why should doctors enroll in AOA MORE?

More than just a Medicare reporting tool, AOA MORE allows optometry, as a profession, to analyze clinical outcomes for the benefit of improving care over time. This can apply to glaucoma care, contact lens care, pediatric care and more, meaning AOA MORE offers optometry the ability to track outcomes that can be analyzed and improved upon.

"AOA MORE allows optometry to advocate for optometry," Zach McCarty, O.D., AOA Quality Improvement and Registries Committee chair, told AOA's House of Delegates. "We need our members to help us collect this data. AOA MORE will help us with MIPS and help prove that we're providing quality care."

Click here for more information about AOA MORE, including FAQs and additional AOA resources, and click here for an AOA MORE webinar.

August 18, 2017

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