You can easily enter data in DrChrono to sync with Healthmonix MIPSpro. You can enter some data in multiple places. Please see our article on all the areas in DrChrono you can enter data for reporting with Healthmonix MIPSpro.
Your Healthmonix MIPSpro dashboard contains a comprehensive description of the codes and criteria for each measure. Click on the View Details to see more.
Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period.
Patients 18 - 75 years of age on date of encounter. This information can be entered in DrChrono in the patient chart under the Demographics tab with the Patient Date of Birth.
- An ICD-10 diagnosis for diabetes documented in one of the ICD-10 entry points. See your Healthmonix MIPSpro account or the CMS website for a full list.
- A relevant CPT or HCPCS code. See your Healthmonix MIPSpro account or the CMS website for a full list.
Patients with an eye screening for diabetic retinal disease. This includes diabetics who had one of the following:
• Diabetic with a diagnosis of retinopathy that overlaps the measurement period and a retinal or dilated eye exam by an eye care professional in the measurement period
• Diabetic with no diagnosis of retinopathy overlapping the measurement period and a retinal or dilated eye exam by an eye care professional in the measurement period or the year prior to the measurement period
NUMERATOR NOTE:The eye exam must be performed or reviewed by an ophthalmologist or optometrist. Alternatively, results may be read by a qualified reading center that operates under the direction of a medical director who is a retinal specialist.
Numerator Options: The HCPCS or CPT codes associated with the numerator can be entered in the billing section for the appointment.
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed (G2102)
Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed (G2103)
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed (G2104)
Low risk for retinopathy (no evidence of retinopathy in the prior year)* (3072F)
*Note:This code can only be used if the claim/encounter was during the measurement period because it indicates that the patient had “no evidence of retinopathy in the prior year”. This code definition indicates results were negative; therefore a result is not required.
Performance Not Met:
Dilated eye exam was not performed, reason not otherwise specified (G2102 with 8P or G2103 with 8P or G2104 with 8P)**
**Note: For Performance Year 2020 reporting, the Centers for Medicare & Medicaid Services and the American Medical Association have approved the use of the 8P modifier with HCPCS codes to report the Performance Not Met numerator option for Quality ID #117.