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Determine Eligibility
Our team confirms your MIPS eligibility based on CMS criteria such as Medicare billing, patient volume, and provider type. We use the CMS QPP Participation Lookup Tool to verify eligibility.
Earn Over 9% Incentive from Medicare with Macralytics MIPS Reporting Services
Over 60% of clinicians reported little or no familiarity with MIPS in early surveys, leading to revenue loss. Macralytics's certified MIPS consultants manage your reporting and partner with you to maximize your revenue collection.
- AAPC-Certified MIPS Experts
- HIPAA-Compliant Reporting
- Year-Long Practice Support
What is MIPS Reporting, and Why Does It Matter?
MIPS reporting helps practices collect and submit performance data to CMS under the Merit-Based Incentive Payment System. Through this program, your practice either earns bonuses or incurs penalties on future Medicare reimbursements.
When MIPS reporting is done right, practices see the difference. You will face fewer revenue risks and greater recognition for quality care under Medicare Part B.
- Avoid Medicare penalties
- Earn more revenue
- Deliver quality, efficient care
- Boost financial stability
$0M+
Value of Incentive Payments
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Successful Submission Rate
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Client Retention
0% to 0%
Revenue Growth
What are The Ways to Determine If You Are Eligible for MIPS Reporting?
For Medicare Part B providers, understanding MIPS eligibility early can also help you avoid compliance issues. You are eligible for MIPS reporting if you:
- Have $90,000 or more in Medicare Part B allowed charges annually.
- Provide care for at least 200 Medicare beneficiaries in a year.
- Deliver at least 200 covered professional services to Medicare patients.
- Serve as a physician, physician assistant, nurse practitioner, clinical nurse specialist, or certified registered nurse anesthetist.
- Belong to an eligible group or virtual group participating under CMS guidelines.
How Is Performance Measured Under MIPS Reporting for 2025?
To evaluate performance, CMS analyzes each practice across four categories. All the metrics together form your final MIPS composite score (0–100 points), which directly impacts your Medicare Part B reimbursements in the 2027 payment year.
Quality – 30% of Final Score
It measures how effectively clinicians deliver evidence-based and patient-centered care. Participants must report 6 quality measures, including at least one outcome or high-priority measure. Performance is compared against national benchmarks to determine the score.
Cost – 30% of Final Score
It evaluates how well clinicians manage healthcare resources while delivering quality outcomes. CMS calculates this score using Medicare claims data, so there is no need for separate reporting. It assesses spending patterns and cost efficiency across various episodes of care.
Improvement Activities (IA) – 15% of Final Score
It rewards practices that improve care processes, patient engagement, and access. Clinicians choose from 100+ qualifying activities such as care coordination, expanded access, and patient safety initiatives to earn this portion of the score.
Promoting Interoperability (PI) – 25% of Final Score
It focuses on the secure exchange of health information using certified EHR technology. Clinicians demonstrate e-prescribing, health information exchange, and patient access to records over a minimum 90-day reporting period.
Begin Your MIPS Reporting Journey with Our Team
Our expert, Dr. Attiya Saqib, is an AAPC-trained MIPS consultant who will carefully guide you through the entire reporting process. She leads our specialized MIPS reporting team at Macralytics to counsel practices nationwide. Our team makes sure that your performance data works for you, not against you.
Many eligible providers miss out on incentives simply because their reporting is not accurate or timely. With Macralytics's MIPS consulting services, you can turn eligibility into opportunity and protect your Medicare reimbursements.
How Macralytics Helps Practices in the MIPS Reporting Process?
With Macralytics's MIPS services, providers no longer struggle with complex CMS requirements. Experts handle every step of your MIPS reporting process, as explained below:
How Does MIPS Scoring Impact Your Medicare Reimbursements?
For the 2025 performance year, MIPS adjustments depend on your final score.
- Under current rules, if your score is 0 to 18.75 points, you'll face the maximum negative adjustment of −9%.
- For scores from 18.76 to 74.99 points, the penalty decreases stepwise from −9% up to 0%.
- If you reach 75 points (the performance threshold), you avoid a negative score with the adjustment being 0% (neutral).
- Lastly, for scores between 75.01 and 100 points, you receive a positive adjustment above 0%.
MIPS Reporting for Every Medical Specialty
No matter your specialty, Macralytics delivers MIPS reporting that selects the highest-scoring quality measures for your specific clinical workflows. Our specialized specialty MIPS services maximize your Medicare incentive, reaching up to 9%.
How Will MIPS Reporting Change in 2026?
MIPS reporting is shifting with the new MIPS Value Pathways (MVPs). Starting in 2026, MVPs will streamline reporting by focusing on specialty-specific measures, outcomes, and cost metrics. CMS has proposed 6 new MVPs for the 2026 performance year: Diagnostic Radiology, Interventional Radiology, Neuropsychology, Pathology, Podiatry, and Vascular Surgery.
But transitioning to MVPs isn't just a formality, as it's about smart planning that leads to higher reimbursements. Our MIPS consulting team at Macralytics helps your practice adapt early and prepare you for what comes next.
Advanced MIPS Reporting Across All Major EMR Platforms
Macralytics integrates with your existing EHR system to collect, monitor, and submit MIPS performance data. No workflow disruption, no platform switching required. Our MIPS reporting services support, but are not limited to the following EMRs.
Why Choose Macralytics for MIPS Consulting Services?
With its MIPS reporting and consulting services, Macralytics maximizes your reimbursement potential. Our certified experts don't just submit your data, we provide the following benefits:
Continuous Performance Monitoring
With Macralytics, you enjoy continuous tracking, feedback, and optimization instead of last-minute data submissions.
Certified MIPS Experts
You get to work with our AAPC-certified professionals who deeply understand MIPS rules and measure requirements.
Specialty Reporting Solutions
Our MIPS reporting consultants make strategies to fit your specialty's unique clinical and reporting needs.
Collaborative Partnership Approach
Macralytics acts as an extension of your team to offer continuous support to help your practice meet your MIPS goals.
Get in Touch with Our MIPS Experts to Book an Appointment
Ready to improve your MIPS performance and maximize incentives? Connect with our experts for personalized guidance today.