MIPS Consulting & Compliance
Strategic MIPS consulting to optimize performance scores, complete improvement activities, and avoid downward payment adjustments under the Quality Payment Program.
MIPS Score Optimization
- ✓ Avoid Medicare payment penalties
- ✓ Maximize positive payment adjustments
- ✓ Custom quality measure selection
- ✓ End-to-end data submission support
Comprehensive MIPS Strategy & Execution
We provide end-to-end MIPS support: performance category selection, measure selection, improvement activity planning, EHR implementation guidance, and quarterly reporting to CMS to maximize your final score and avoid penalties.
Performance Category Assessment
Evaluate Merit-based Incentive Payment System (MIPS) vs. Advanced APM eligibility based on practice size and revenue.
Measure Selection & Planning
Strategic selection of quality and cost measures aligned with your specialty and operational capabilities.
Improvement Activity Completion
Documentation and attestation of improvement activities to meet MIPS scoring requirements.
CMS Reporting & Optimization
Accurate quarterly and annual performance data submission to maximize final MIPS score.
MIPS Program Expertise by Specialty
Primary Care
Preventive care & chronic disease management
Orthopedics
Surgical outcomes & patient safety measures
Cardiology
Heart disease management & quality metrics
Behavioral Health
Mental health outcomes & treatment compliance
EHR & Data Platform Integration
Compliance & Documentation
Full audit trail, HIPAA compliance, and CMS-aligned reporting documentation.
MIPS Program FAQs
What is MIPS and who is eligible?
MIPS (Merit-based Incentive Payment System) is part of CMS Quality Payment Program. Most clinicians with >$90K Medicare revenue are subject to MIPS reporting requirements.
What happens if I don't report MIPS?
Non-reporting results in a downward payment adjustment (penalty) of up to 9%. Reporting, even with a lower score, helps avoid penalties.
How is the MIPS score calculated?
MIPS combines performance categories: Quality (30%), Cost (15%), Improvement Activities (15%), and Promoting Interoperability (25%). Total: 100 points.
Maximize Your MIPS Performance & Avoid Penalties
Get expert guidance on measure selection, improvement activities, and CMS reporting to optimize your MIPS score.