Protect your MIPS Cost score – Ophthalmology Management
A great deal has been written about CMS’ Quality Payment Program and MIPS, and we are not going to rehash all of that here. However, in 2019, we are faced with a brand new episode-based cost measure for ophthalmology — Routine Cataract Removal with IOL Implantation — that will impact many practices’ MIPS Cost score. Read on for the details.
This article addresses the following questions:
- What is an episode-based cost measure?
- How does this apply to cataract?
- What costs are included?
- What costs are excluded?
- Surgery performed at a HOPD has considerably higher costs than an ASC. Do HOPD-based surgeons always take a hit?
- What can we do to minimize our costs?
This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below: