Merit-Based Incentive Payment System (MIPS)
Claimocity provides fully integrated MIPS attestation and reporting features helping healthcare practices and providers meet their annual compliance objectives.
Merit-Based Incentive Payment System (MIPS)
Claimocity provides fully integrated MIPS attestation and reporting features helping healthcare practices and providers meet their annual compliance objectives.
MIPS, or Merit-Based Incentive Payment System, developed by the Centers for Medicare & Medicaid Services (CMS) is one of the components of the Quality Payment Program (QPP) established under the Medicare Access and CHIP Reauthorization Act (MACRA). MIPS is designed to incentivize healthcare providers, particularly those in the Medicare system, to focus on quality and value-based care. MIPS measures and qualifications change annually, so practices must check their eligibility to ensure compliance. Failure to report can result in CMS payment penalties!
MIPS MADE EASY WITH CLAIMOCITY CHARGE CAPTURE
RULES-BASED QUALITY MEASURES CAPTURE
Claimocity works with your Practice to configure your reporting measures directly in our application. Measures can be attested during charge capture or in a progress note with just a few clicks. MIPS workflows are completely configurable based on your customized rules, diagnoses selection, patient age and billing history. The application is designed to ease provider documentation and present MIPS only when applicable. Validation rules are also available to ensure that providers select the appropriate measures before submitting charges. Claimocity takes the confusion out of the process and only asks providers to document when they are the only one that can answer.
Powered by Patient360
Once data is collected, MIPS reporting is seamless through our MIPS Reporting registry partner integration. Claimocity has a strategic partnership with Patient360 as our preferred, fully-integrated CMS Qualified Registry solution.
Partnership benefits
- Fully-integrated CMS Qualified Registry
- MIPS data is shared seamlessly between Claimocity and Patient360
- Patient360’s expert support helps practices select the best MIPS measures
- Patient360’s practice and provider dashboards help with tracking and compliance
HAVE QUESTIONS?
WE HAVE ANSWERS.
Do I qualify for MIPS reporting?
Claimocity requires practices to verify and confirm eligibility for MIPS through the CMS Quality Payment Program (QPP) website during implementation and annually thereafter. To verify eligibility, visit qpp.cms.gov.
Am I required to report?
If your practice or clinic meets ALL the eligibility thresholds, you must report MIPS or face a penalty. If you are not required to submit, based on the eligibility thresholds, you may have the opportunity to choose to report as an opt-in or voluntary participant if you would like the practice or chance at a bonus payment.
What's changing this year?
In 2025, CMS is proposing several changes. Some key takeaways include:
- Adjustments to Quality Measures: 9 new quality measures, the removal of 11, and changes to 66 existing measures.
- Quality Performance: a submission for the quality performance category must include numerator and denominator information for at least one quality measure to be considered a data submission and scored.
- IAs: reduction of the IAs clinicians are required to complete.
- MVPs: MVP reporting still remains voluntary, but CMS has proposed broader adoption of MVPs for 2025.
- Cost Category: six new episode-based cost measures.
How does Claimocity's partnership with Patient360 work?
Claimocity connects your practice’s clinical leaders to a Patient360 advisor—your practice contracts directly with Patient360 for MIPS reporting. Your Claimocity Account Team then helps you set up the app to track the MIPS measures you’ve chosen to report. Claimocity then securely shares the data with Patient360. Once everything is in place, providers can capture the appropriate MIPS codes directly in the Claimocity app for each patient encounter.