MIPS or QPP MIPS Reporting
The Merit-Based Incentive Payment System (MIPS) is a key initiative developed by the U.S. Centers for Medicare & Medicaid Services (CMS) under the Medicare Access and CHIP Reauthorization Act (MACRA). As a central component of value-based care, MIPS encourages specialty-based providers to deliver high-quality, cost-effective care to Medicare beneficiaries—while earning performance-based incentives.
Clinician performance is evaluated across four core domains:
Quality – Assesses adherence to evidence-based quality measures.
Promoting Interoperability – Emphasizes efficient and secure exchange of health information.
Improvement Activities – Encourages efforts to enhance clinical practice and patient care.
Cost – Evaluates cost-efficiency in care delivery.
Choosing to report through a MIPS Registry allows providers to track performance accurately, remain compliant with CMS requirements, and optimize outcomes. Registries support continuous improvement by promoting accountability, performance transparency, and a culture of high-quality care.
- Physicians (MD, DO, DDS, DDM, DPM, Optometrists, Chiropractors)
- Physician Assistants (PAs)
- Nurse Practitioners (NPs)
- Clinical Nurse Specialists (CNSs)
- Certified Registered Nurse Anesthetists (CRNAs)
- Physical Therapists (PTs)
- Occupational Therapists (OTs)
- Speech-Language Pathologists
- Audiologists
- Clinical Psychologists
- Dietitians/Nutritionists
- Clinical Social Workers
- Certified Nurse-Midwives
- Total allowed charges
- Number of Medicare patients served
- Number of services provided
Clinicians must participate in MIPS (unless otherwise exempt) if any of the following criteria are met:
- Billed more than $90,000 for Part B covered professional services
- Treated more than 200 Medicare Part B beneficiaries
- Provided more than 200 covered professional services to Part B patients
