AOA MORE and MIPS: What you need to know

AOA MORE and MIPS: What you need to know

The Centers for Medicare & Medicaid Services (CMS') 2018 Merit-based Incentive Payment System (MIPS) performance year is ending, so eligible providers need to act now to avoid a payment penalty.

MIPS-eligible doctors of optometry must earn at least 15 points in their overall 2018 MIPS score to avoid a payment reduction.

Although fewer doctors of optometry were required to participate in the 2018 MIPS reporting cycle due to CMS' changes to the eligibility threshold, AOA estimates nearly 4,800 doctors of optometry are MIPS-eligible and will need to satisfactorily report MIPS data in 2018 or face up to a maximum 5 percent payment penalty, assessed in 2020.

Eligible doctors of optometry must earn at least 15 points in their overall 2018 MIPS score to avoid a payment reduction. This can be done by reporting six quality measures; or, two medium-weighted or one high-weighted improvement activity; or, reporting required measures in the promoting interoperability category. Conversely, up to a 5 percent payment incentive can be earned in 2020 based on doctors' level of 2018 participation and MIPS score. Learn more about scoring, penalties and incentives here.

In 2017, 601 doctors of optometry used AOA MORE to complete their first 2017 MIPS data submission and attestation, helping them avoid at least $721,000 in penalties. To help AOA doctors meet MIPS requirements and avoid the penalty, AOA MORE (Measures and Outcomes Registry for Eyecare) offers six steps to ensure doctors are ready.

  1. Review eligibility.
    Not all doctors of optometry are required to submit MIPS data to CMS, so it's prudent to first review your eligibility through CMS' QPP Participation Lookup tool. Doctors need only to enter their 10-digit National Provider Identifier (NPI) number to review participation status by performance year.

  2. Check for quality data.
    QPP-eligible providers using AOA MORE need to review their AOA MORE dashboard for quality measure data. If this data is not available (see below), then doctors should report quality data through another reporting option, such as EHR or claims-based.

  3. Complete improvement activities (IAs).
    The 'improvement activities' category accounts for 15 percent of your 0-100 MIPS score, and AOA MORE can help doctors of optometry earn full marks in the category-even if your EHR isn't integrated with the registry yet. AOA MORE participation supports three IAs, including "Participation in a Qualified Clinical Data Registry (QCDR) that promotes use of patient engagement tools;" "Participation in a QCDR that promotes collaborative learning network opportunities that are interactive;" and "Participation in a QCDR for quality improvement." Click here for guidance on how to meet these IA reporting requirements.

  4. In a practice with 15 or fewer clinicians?
    To avoid a payment penalty in 2020 based on your patient care in 2018, doctors must earn at least 15 points. If you are a doctor of optometry in practice with 15 or fewer CMS clinicians, then you need to report 1 high-weighted IA or 2 medium-weighted IAs. Simply engage and complete two of the IAs above by participating in AOA MORE during the last 90 days of 2018. Click here for guidance on how to meet these IA reporting requirements.

  5. Use AOA MORE for promoting interoperability (PI).
    The 'promoting interoperability' category, formerly known as "advancing care information," accounts for 25 percent of your 0-100 MIPS score, and AOA MORE can help doctors of optometry earn points here, too.

    Here's a helpful hint: If you're an EHR user, use AOA MORE to report PI measures to CMS during attestation and avoid using an EIDM account. Visit AOA MORE and select the 'registry login' button. Use your AOA member credentials to log in, then select the 'MIPS participation' tab on the left side of the navigation bar. Scroll down to 'promoting interoperability' and enter your EHR name/version into the search bar. Your appropriate PI measures should populate once your EHR is found, and you can manually enter the measure counts for submission to CMS during attestation in early 2019.

  6. Prior authorization needed.
    Keep in mind that no data is reported to CMS without your prior authorization, so doctors will need to log into AOA MORE during the attestation period (January-March 2019), verify your NPI/TIN and give AOA permission to submit any of your data or information to CMS.

Here is the latest AOA MORE integration status among participating EHR vendors:

  • Crystal Practice Management: Complete. AOA MORE will support 2018 MIPS quality reporting, and users will be able to report improvement activities and promoting interoperability categories through AOA MORE. Doctors will see up-to-date quality measure data and practice clinical information on the AOA MORE dashboard.

  • Practice Director: Complete. AOA MORE will support 2018 MIPS quality reporting, and users will be able to report improvement activities and promoting interoperability categories through AOA MORE. Doctors will see up-to-date quality measure data and practice clinical information on the AOA MORE dashboard.

  • Compulink: In-process. AOA MORE continues to work with Compulink to obtain 2018 quality data. In the meantime, doctors are encouraged to report quality data using another method. Doctors can still report improvement activities and promoting interoperability categories through AOA MORE.

  • MaximEyes EHR: In-process. AOA MORE continues to work with MaximEyes EHR to obtain 2018 quality data. In the meantime, doctors are encouraged to report quality data using another method. Doctors can still report improvement activities and promoting interoperability categories through AOA MORE.

  • Eyefinity EHR: Delayed. Although doctors can still report improvement activities and promoting interoperability through AOA MORE, doctors are encouraged to use another reporting method for 2018 quality data.

  • OfficeMate/ExamWRITER: Delayed: Although doctors can still report improvement activities and promoting interoperability through AOA MORE, doctors are encouraged to use another reporting method for 2018 quality data.

  • RevolutionEHR: Delayed. Although doctors can still report improvement activities and promoting interoperability through AOA MORE, doctors are encouraged to use another reporting method for 2018 quality data.

If you have questions or need additional support, please contact AOA's MIPS Support Team by emailing QualityImprovement@aoa.org and adding "MIPS Support" in the subject line, or call AOA at 314.983.4270.

Are you using AOA MORE?

Almost 7,500 AOA member doctors are enrolled with AOA MORE, leveraging its reporting power in MIPS and contributing crucial patient health data that helps support the important role optometry plays in America's eye health and vision care. AOA MORE provides clear, strong evidence that the profession is delivering robust patient care at a time when data is the crux of public health strategies and initiatives.

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

December 6, 2018

comments powered by Disqus