Beginning on January 1, 2019, audiologists became eligible to report in the Merit-based Incentive Payment System (MIPS). If you meet all three of the requirements listed below (if you are in a non-facility setting), you are required to report based on these low-volume threshold requirements. It is suggested that you log in to the QPP site to determine your eligibility for 2019.

  1. $90,000 or more in services billed to Medicare
  2. Provided services to 200 or more Medicare beneficiaries
  3. Provided 200 or more distinct procedures to Medicare beneficiaries

If you would like to report voluntarily, there is no incentive or penalty to do so. You would need to register for an account that will track your performance and scores. Do not register to opt in as there may be associated penalties. To voluntarily report, register via the Enterprise Identity Management System (EIDM) portal. You would use the same six PQRS measures reported on in the past, in the same way, with the same G codes. Click here for the specified codes and details about the measures. If unable to locate or if you have any questions, please email Deb Abel or call 330.495.0293.

130: Documentation of Current Medications in the Medical Record (report for each visit)
134: Screening for Clinical Depression and Follow-Up Plan (report a minimum of once/calendar year)
154: Falls: Risk Assessment (report a minimum of once/calendar year if the specified CPT codes were performed)
155: Falls: Plan of Care (this measure needs to be reported if the patient meets the measure #154 reporting criteria, a minimum of once/calendar year, for the specified CPT codes)
226: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (report a minimum of once/calendar year)
261: Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness (report a minimum of once/calendar year)

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