QPP MIPS Reporting Experts: Enhancing Healthcare Quality and Reporting Precision
At Proactive Healthcare Services, our QPP MIPS Reporting Specialists empower healthcare providers to successfully navigate the Quality Payment Program (QPP) by ensuring accurate and compliant reporting under the Merit-based Incentive Payment System (MIPS). We support improved healthcare outcomes through streamlined data submission, CMS compliance, and enhanced reporting precision.
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.
QPP MIPS Reporting Eligibility
Clinicians are eligible to participate in QPP MIPS Reporting if they meet the low-volume threshold set by CMS. Eligible clinician types include:
- 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

Low-Volume Threshold for MIPS Eligibility
The low-volume threshold determines whether a clinician is required to participate in MIPS reporting. It is based on three key factors related to Part B covered professional services:
- 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
Key Components of QPP MIPS Reporting

Performance Threshold for Performance Year (PY) 2024
For the 2024 MIPS performance year, the performance threshold is set at 75 points. Clinicians who score below 75 may incur a negative payment adjustment of up to 9%, based on their final performance score.
Clinicians who score above 75 are eligible for positive payment adjustments, including budget-neutral incentives and potential bonuses, depending on overall program performance and available funding.
Accurate and compliant QPP MIPS reporting is essential to avoid penalties and maximize financial rewards.