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MIPS Reporting Services2026-09-28T13:13:33+00:00

MIPS Reporting

Support Throughout the MIPS Reporting Cycle

  • Check MIPS eligibility and special status

  • Compare Traditional MIPS and applicable MVP options

  • Track measures and documentation during the performance year

  • Prepare reporting data for CMS submission and review

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Support Throughout the MIPS Reporting Cycle

MedicureMD supports eligible clinicians with MIPS eligibility review, measure selection, performance-data tracking, submission preparation and reporting through applicable CMS pathways. Payment adjustments depend on the clinician’s final score and CMS program rules.

  • Check MIPS eligibility and special status

  • Compare Traditional MIPS and applicable MVP options

  • Track measures and documentation during the performance year

  • Prepare reporting data for CMS submission and review

specialities

2026 MIPS Reporting Requirements

For the 2026 performance year, eligible clinicians should confirm their participation status, select an applicable reporting pathway and monitor performance throughout the year. The MIPS final score ranges from 0 to 100 points, and the performance threshold remains 75 points through the 2028 performance year.

Quality Data Requirements

For Traditional MIPS, the Quality performance category generally uses a 12-month performance period from January 1 through December 31, 2026. Clinicians must report at least 75% of eligible cases for each selected quality measure, subject to measure specifications and CMS rules.

MIPS Value Pathways Registration

Clinicians planning to report a MIPS Value Pathway for the 2026 performance year must review the applicable MVP requirements and complete registration within the CMS registration window. The 2026 MVP registration window runs from April 1 through November 30, 2026.

Confirm MIPS Eligibility

MIPS participation status can vary by clinician type, Medicare enrollment date, billing activity, beneficiary volume and participation in an Advanced APM. Clinicians should check their 2026 status through the official QPP eligibility resources before selecting measures or preparing submission data.

How MedicureMD Supports Practices Through the MIPS Reporting Process

With MedicureMD’s MIPS services, providers no longer need to struggle with complex CMS requirements. Our experts manage every step of MIPS reporting, as outlined below:

Step 1 – Confirm Provider Eligibility

First, we verify your MIPS eligibility based on CMS criteria such as Medicare billing, patient volume, and provider type. We use the CMS-provided QPP Participation Lookup Tool to confirm eligibility.

Step 2 – Choose Relevant Performance Measures

We identify the most relevant and high-scoring quality measures for your specialty. Our MIPS quality reporting consultants perform careful measure selection to maximize incentive potential.

Step 3 – Gather and Track Data

Throughout the performance year, we track and analyze real-time data from your EHR, billing, and clinical systems. Ongoing monitoring allows for adjustments before submission deadlines.

Step 4 – Review and Verify Data Accuracy

Before submission, our MIPS consultancy experts review all data for accuracy and compliance. This step minimizes reporting errors that could lead to score reductions or CMS audits.

Step 5 – Submit Data to CMS

Acting as your MIPS partner, MedicureMD handles timely submission through approved MIPS portals. Our team ensures that your data meets all CMS validation requirements.

Step 6 – Evaluate Results and Improve Future Performance

CMS reviews the submitted data and assigns a MIPS final score ranging from 0 to 100. After analyzing this score, we identify areas for improvement to help you earn higher scores in the next reporting cycle.

FAQs

How can MIPS performance affect Medicare payments?2026-09-28T12:11:35+00:00

MIPS performance may lead to a positive, neutral or negative Medicare payment adjustment in the associated payment year. The result depends on the clinician’s final score and CMS program rules. MedicureMD supports eligibility review, measure selection, data validation and submission preparation, but does not guarantee a specific score or payment adjustment.

What are the four MIPS performance categories?2026-09-28T12:50:11+00:00

Traditional MIPS evaluates eligible clinicians across four performance categories: Quality, Cost, Improvement Activities and Promoting Interoperability. Each category contributes to the final MIPS score, although category weights may change for clinicians with an approved exception, special status or applicable program policy.

Which documents do I need for MIPS reporting?2026-04-21T16:56:24+00:00

You will need EHR performance reports, patient encounter logs, quality measure data, evidence of improvement activities, Promoting Interoperability records, and signed attestation forms. Maintaining thorough documentation helps validate your submissions and protects your practice during CMS audits.

What are the consequences of missing the MIPS submission deadline?2026-09-28T13:04:43+00:00

If a MIPS-required clinician does not submit the required data by the CMS deadline and does not qualify for an applicable exclusion or approved exception, the resulting final score may lead to a negative Medicare payment adjustment in the associated payment year. The adjustment can reach the statutory maximum of minus 9%, depending on the clinician’s eligibility and final score.

EHR and Data Support for MIPS Reporting

MedicureMD works with compatible EHR, practice management, registry and reporting systems to review MIPS data availability, measure reports, numerator and denominator details, performance gaps and submission readiness. Available reporting functions and data access vary by platform and practice setup.

2026 MIPS Reporting Snapshot

Key MIPS figures for the 2026 performance year. Requirements may vary based on reporting pathway, clinician status, approved exceptions and applicable CMS policies.

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MIPS Reporting Workflow

MIPS Reporting Onboarding Process

  • Initial MIPS Review
    We review the clinician list, practice structure, reporting history, current systems and MIPS reporting goals.

  • Eligibility and Special Status Check
    We check available QPP participation information and identify applicable clinician, group or special-status considerations.

  • EHR and Data Access Review
    We review available EHR reports, measure data, registry access and other reporting sources required for the selected pathway.

  • Measure and Workflow Planning
    The practice and reporting team identify applicable measures, data gaps, responsible staff and performance-monitoring steps.

  • Monitoring and Submission Calendar
    We establish review dates, documentation checkpoints and submission tasks based on the applicable CMS timeline.

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MIPS Reporting Support Across Medical Specialties

MIPS measure selection and reporting needs can differ by specialty, patient population, practice size, reporting pathway and available health information systems. MedicureMD supports eligible clinicians across multiple specialties with eligibility review, measure planning, performance tracking, data validation and submission preparation.

family medicine
Family Medicine
Denistry
Dentistry
Internal Medicine
Internal Medicine
Pediatrics
Pediatrics
Geriatrics
Geriatrics
general surgery
General Practice
general surgery
General Surgery
orthopedics
Orthopedics
cardiothoracic surgery
Cardiothoracic Surgery
Neurosurgery
Neurosurgery
Plastic & Reconstructive Surgery
Plastic & Reconstructive Surgery
Urology
Urology
Otolaryngology (ENT)
Otolaryngology (ENT)
Vascular Surgery
Vascular Surgery
Cardiology
Cardiology
Pulmonology
Pulmonology
Gastroenterology
Gastroenterology
Nephrology
Nephrology
Endocrinology
Endocrinology
Rheumatology
Rheumatology
Infectious Diseases
Infectious Diseases
Hematology / Oncology
Hematology / Oncology
Obstetrics & Gynaecology
Obstetrics & Gynaecology
Maternal Fetal Medicine
Maternal Fetal Medicine
Neurology
Neurology
Psychiatry
Psychiatry
Pain Management
Pain Management
Emergency Medicine / Urgent Care
Emergency Medicine / Urgent Care
Critical Care Medicine
Critical Care Medicine
Anesthesiology
Anesthesiology
Radiology
Radiology
Pathology
Pathology
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation
Chiropractic Medicine
Chiropractic Medicine

What Medical Practices Say About MedicureMD

Medical practices work with MedicureMD for billing support, reporting, claim follow-up, workflow management, and communication across their revenue cycle operations.

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