Cataract Surgery and the MIPS Cost Category

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Did you know that your Cost category score contributes the same weight to your traditional MIPS final score as your Quality category score? It didn’t start that way when MIPS began in 2017. Starting with a 0% weight in 2017, the Cost category is now federally mandated to equal the weight of the Quality category in an eligible clinician’s traditional MIPS final score. To increase the critical need for attention, the Cost category was reweighted to 0% during 2020 and 2021, making the category appear to suddenly “come out of nowhere” to many clinicians.

Do you know your Cost score progress as well as your Quality score’s? Unlike having a registry to track the Quality category, the Cost category has no tracking mechanism from CMS during the performance year. This webinar will provide a close look into the Cost measure that is specifically geared towards cataract surgeons: Routine Cataract Removal with Intraocular Lens (IOL) Implantation Measure. Here’s what we’ll look at:

  • Description and Rationale: Knowing the “whys” will help you know how to succeed.
  • Attributions and possible pitfalls: Did you know that other physicians outside of your clinic can affect a cataract surgeon’s Cost score? How does the timing of codes affect your Cost score? What codes include/exclude a patient from this measure? If you improve your Cost performance, what seemingly unrelated measures do you then need to pay attention to? We’ll discuss these and more.

Target Audience: Cataract surgeons, clinic administrators, billing staff, cataract surgery schedulers


About the speakers

Katie Buckholtz has assisted over 420 clinicians across the country with maximizing their payment incentives and performance for the CMS Quality Payment Program. Her clients participate in both MIPS and APMs, represent a growing list of medical specialties, and utilize multiple EHRs and registries. She is a self-professed “nerd” who enjoys translating complex regulatory program policy into customized, usable, and meaningful performance strategies for physicians and their staff.