Under MIPS, eligible clinicians will be required to report up to 6 quality measures, including at least one outcome measure or high-priority measure, for a minimum of 90 days during the 2017 performance year. Practice Fusion currently supports 23 eCQMs that can be reported for MIPS for the 2017 performance year.
|eCQM:||Diabetes: Eye Exam|
|CMS ID:||CMS 131v5|
|NQS Domain:||Effective Clinical Care|
|MIPS High Priority Measure:||No|
|Eligible for Quality Programs:||
|Description:||Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period.|
Numerator: Patients from the denominator with one of the following:
- A retinal or dilated eye exam by an eye care professional in the measurement period, or
- A negative retinal or dilated eye exam (no evidence of retinopathy) by an eye care professional in the year prior to the measurement period.
Denominator: Patients 18-75 years of age with diabetes with an eligible visit (defined as a signed chart note with one of the following encounter types: Office Visit, Nurse Visit, Home Visit or Nursing Home Visit) during the measurement period.
- Denominator Exclusions: None
- Denominator Exceptions: None
What is the Quality Payment Program?
Quality Payment Program is the name given to the new Medicare value-based reimbursement system. The program has two tracks for participation: MIPS and APM
What are APMs?
MACRA allows providers who take further steps towards transforming healthcare to be exempt from MIPS and participate in Advanced Alternative Payment Models (APMs).
How to prepare
Individual eligible providers can prepare to meet all MIPS measures and be ready to avoid penalties and earn bonuses on January 1, 2017.