Quality reporting
MIPS and QPP Compliance Managed Across the Whole Year
Measure selection, data capture and submission for the Merit-based Incentive Payment System, monitored all year rather than in December.
The short version
MIPS & QPP Compliance without the guesswork
MIPS carries a payment adjustment in both directions, and the adjustment applies two years after the performance period. That delay is what makes it so easy to deprioritise, and so expensive when it is. By the time a penalty appears on a remittance, the year that caused it is long closed.
We treat quality reporting as a live operational metric rather than an annual scramble. Measures are selected against what your practice actually documents, performance is monitored quarterly, and gaps get flagged while there is still a performance year left to fix them.
Why this matters
How practices lose points
Most lost MIPS points are not clinical failures. They are measurement and documentation failures discovered too late to correct.
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Measures chosen without checking the data
A measure that looks clinically appropriate is worthless if your workflow does not reliably capture the numerator.
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Discovering performance in January
Quality data reviewed after the performance year has closed can be reported but no longer improved.
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Topped-out measures
Measures where nearly everyone scores highly have compressed scoring caps, so strong performance still yields few points.
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Improvement activities undocumented
The activity genuinely happened, but without contemporaneous evidence it cannot be attested to safely.
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Promoting interoperability gaps
A single unmet required measure in this category can zero the entire category rather than merely reduce it.
Scope of work
What our MIPS support covers
Everything below is in scope from day one. Nothing here is an upsell later.
Measure selection
Measures chosen against your actual documented data and specialty benchmarks, not from a generic shortlist.
Quality data validation
Numerator and denominator capture checked for completeness against the data completeness threshold.
Promoting interoperability
Required measures reviewed, the security risk analysis tracked, and attestation evidence assembled.
Improvement activities
Activity selection with contemporaneous documentation captured during the year rather than reconstructed after it.
Cost category monitoring
Attributed cost measures reviewed so the category that you cannot directly report on still gets watched.
Submission and forecasting
Quarterly score projection and final submission through the appropriate collection type before the deadline.
Workflow
Our annual MIPS cycle
The same sequence runs every day, which is what makes the output predictable.
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1
Eligibility check
We confirm eligibility and reporting status at both individual and group level before planning anything.
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2
Baseline data review
Historic performance is analyzed to see which measures your documentation already supports well.
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3
Measure strategy
A measure set is selected for scoring potential, avoiding topped-out measures where better options exist.
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4
Workflow alignment
Where a measure needs a capture step that does not exist yet, we define it with your clinical team.
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5
Quarterly monitoring
Performance is reviewed every quarter with a projected score and a list of correctable gaps.
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6
Mid-year correction
Underperforming measures are addressed or substituted while the performance period is still open.
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7
Evidence assembly
Improvement activity and interoperability documentation is collected and filed as the year progresses.
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8
Submission
Final data is validated and submitted, with the confirmation and score documented for your records.
Questions
About MIPS & QPP Compliance
What practices usually want to know before handing this part of the revenue cycle over.
Ask us something elseNot every clinician is. Eligibility depends on billing volume, patient count and allowed charges against the low-volume threshold. We check your status first, because reporting when exempt is wasted effort.
It depends on the spread of performance across your clinicians. Group reporting smooths outliers, individual reporting rewards strong performers. We model both against your data before recommending one.
Yes. We cannot reopen a closed period, but we can review whether a targeted review or an extreme and uncontrollable circumstances application applies, and rebuild the current year properly.
How it works
How working with us actually starts
No long implementation project, no switching systems. Four steps, and most practices are live inside a month.
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01
Revenue assessment
We audit a sample of your claims, denials and aged A/R and show you what we found. Free, and yours to keep either way.
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02
Scope and agreement
A written scope covering exactly which services we run, what it costs and what we are accountable for.
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03
Access and onboarding
We set up inside your existing EHR and clearinghouse. Two to four weeks, run in parallel with your current process.
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04
Live and reporting
We take over submission and follow-up, and you get monthly reporting you can actually act on.
Free consultation
Want a read on your MIPS and QPP reporting?
We will review a sample of your claims and come back with what we found. No cost, no commitment, and the findings are yours regardless of what you decide.