Understanding IRIS Reporting in Healthcare
IRIS reporting is a critical component in ensuring federal funding for Graduate Medical Education. It involves submitting the Medicare Cost Report to CMS based on the Intern and Resident Information System (IRIS). This comprehensive process includes attestation, checklist completion, reporting missing data, and ensuring accurate documentation for residents and fellows. IRIS plays a vital role in securing funding from federal and state governments as well as teaching institutions sponsoring medical programs.
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Presentation Transcript
IRIS MID-YEAR REVIEW
Agenda Process Overview Timeline IRIS Reports Attestation & Checklist Medtrics Required Items Items Requested for CMS Audit Questions 2
Timeline 3
What is IRIS? And why are we required to do it? 4
IRIS & Medicare Cost Reporting Graduate Medical Education is funded by three sources: federal government, state government, and the teaching institutions sponsoring the programs. The federal government has historically been the largest provider, primarily through the Medicare and Medicaid programs that were established in 1965. A critical component of ensuring federal funding is the Medicare Cost Report, which is submitted to CMS (Centers for Medicare & Medicaid Services) each year. The Medicare Cost Report is based on the Intern and Resident Information System (IRIS). The IRIS database contains records of all residents and fellows rotating through a training facility. Every record must be supported by documentation (such as rotation schedules) and the final cost report must be attested to by the sponsoring Program Director. Medtrics is the tool used to calculate all resident and fellow demographic and rotation information. IRIS is calculated based on the calendar year, not the academic year. Thus, information is collected across two (2) academic years.
IRIS Reports Missing Data Report Missing Data Report Gap in Schedules Gap in Schedules Report Report A summary of data not yet entered in to Medtrics (SSN, graduation date) per user A summary report of all identified gaps in schedules IRIS Details Report IRIS Details Report Scheduling Overlap Scheduling Overlap Report Report A report that provides details for each resident/fellow rotations A report that will identify any duplications or overlaps in schedules 6
Attestation & Checklist
Medtrics Required Items Medtrics Required Fields Required Documents to be Uploaded to Medtrics Account Information Personal Information Certification Information Emergency Information Citizenship Status Additional Information (KP info) Education Medical School Diploma DEA License Medical License Resident/Fellow Contract (signed each year) ACLS New Hire Onboarding Documents with Checklist 8
Items Requested for CMS Audit (Sponsored & Affiliates) Resident Files: Social Security Number Medical School Medical School Diploma CV Name of IRP Program, Date Resident Started & Number of Years to Complete ECFMG (if applicable) Employment Contracts or Residency Agreements Rotation Schedules with Legends Dates Rotated, Name of Prior Residency Program & Certificate of Completion Residency School Application Residency Acceptance Letter Visiting affiliate rotation schedules with legends and communication as needed Resident Elective Forms Claimable research form 9
2022 IRIS Mid-Year Review - Regional GME Staff Donna Allen Donna Allen Reviewing Reviewing 19 total sites 19 total sites Melissa Wong Melissa Wong Michelle Loaiza Michelle Loaiza Redwood City, South San Francisco, San Francisco Roseville, Sacramento, South Sacramento Oakland, Santa Clara 6 Reviewers 6 Reviewers Amanda Coy Amanda Coy Susana Martinez Susana Martinez- - Caldera Caldera Shen e Shen e Harris Harris Santa Rosa, Antioch, Walnut Creek, San Rafael San Jose, Modesto, Fresno Vacaville, Vallejo, San Leandro, Fremont 10
