Paymedics recognizes how complex and time-consuming MIPS (Merit-based Incentive Payment System) reporting can be. That is why we offer customized MIPS support designed around the unique needs of healthcare providers. Our goal is not just to ensure compliance, but to help you improve performance across all MIPS categories, improve care quality, and unlock higher Medicare reimbursements. Whether you are a solo practitioner or part of a large healthcare group, we are here to simplify the entire reporting process, reduce administrative fatigue, and verify that your data accurately reflects the excellent care you deliver.
MIPS, or the Merit-based Incentive Payment System, is part of Medicare’s Quality Payment Program (QPP). It is a CMS program that measures and adjusts Medicare payments to physicians on the basis of their performance in several categories. Each year, MIPS evaluates healthcare providers performance across four key areas:
MIPS rewards those providers who meet the requirements and penalizes those who fall short. To successfully participate, practitioners must choose a reporting method and meet the requirements across all four categories.
Our MIPS consultants take the stress out of MIPS reporting, by helping you choose the best reporting method, stay compliant with CMS updates, and identify areas for improvement to increase your final MIPS score. Our experienced consultants handle the complex part of MIPS, so you can give the care your patients deserve. Paymedics makes sure you are supported at every step of your MIPS journey.
MIPS scoring is basically divided into four main categories: Quality, Promoting Interoperability, Improvement Activities and Cost. Each category receives a score, and those scores are combined to get an overall MIPS score. MIPS score ranges from 0 to 100 points, indicating how well a provider performs in all four categories.
Category Weights
Each category gives a performance score between 0 and 100. CMS then multiplies each category score by its weight and adds the categories results to get the MIPS Composite Score.
There are three main steps through which the MIPS final score is calculated.
A doctor's performance score in each of the four categories.
Each category score is being multiplied by its respective weight.
Each weighted category is then added together to get a composite score.
Let’s suppose your practice earned:
Quality
Cost
Promoting Interoperability
Improvement Activities
Now multiply each by its percentage weight:
Add them together:
The MIPS Composite Score is like your report card for the year.
The higher your score, the better your Medicare payment rate will be.
We offer a complete range of MIPS reporting services to help you boost your performance, avoid penalties, and maximize your Medicare incentives. Here is how we support you:
We review how your systems collect and send data, then recommend better connections to make your MIPS reporting faster, smoother, and more accurate.
Want to keep your team motivated? We help you create a performance-based revenue-sharing plan that rewards your team based on improved MIPS scores. This gives your team a financial reason to help improve care quality and reporting because better performance means better rewards for everyone.
We evaluate your current EHR workflows and help you improve them to capture the right data without errors.
Based on your specialty, we help you choose and monitor the best-performing MIPS measures, so that you are not just fulfilling requirements, but working towards success.
If you need to report on certain measures specific to your specialty, we will help you set them up properly and make sure they are being tracked for maximum scoring.
We help you connect your EHR system with your MIPS reporting tools, making it easier to gather, process, and submit quality data accurately and on time, instead of wasting time manually entering or moving data.
We analyze your current performance and estimate how it will impact your Medicare payments, helping you set realistic goals and avoid penalties.
To participate in MIPS, you must fulfill the following requirements:
If you meet all three requirements, you are required to report under MIPS, or if you don’t, Medicare may reduce your payments as a penalty.
Some providers are not required to participate in MIPS. These include:
We offer flexible pricing that fits your practice needs, size, and budget, without compromising on quality.
Your patient data is always secure. We start every project with a signed HIPAA agreement and follow strict compliance rules.
As an ISO-certified company, we deliver high-quality reporting to make sure your MIPS submission is error-free and accurate.
Our experts bring decades of experience and a deep understanding of MIPS requirements across different practice types.
We are always available for you. Our 24/7 support ensures that you get timely assistance when you need it the most.
We use the latest tools and softwares to make sure your MIPS reporting is accurate, smooth, and fully compliant with CMS rules.
Our team of expert MIPS consultants quickly and effectively adjusts to your changing needs, whether you are expanding your practice or changing your reporting strategy.
We customize MIPS reporting strategies based on your specialty, goals, and current performance to help you achieve the best possible outcomes.
The MIPS reporting landscape for 2026 is changing, though most of the fundamentals are likely to stay consistent as they were in 2025. The performance threshold remains at 75 points to avoid penalties, and no major changes are being predicted to the category weights, which means Quality, Promoting Interoperability, Improvement Activities, and Cost will continue to hold the same value.
The major change for 2026 is the continued expansion of the MIPS Value Pathways (MVPs) program, offering more opportunities for specialty-specific reporting. According to reports, 6 new MVPs are expected to be added including pathology, diagnostic and interventional radiology, neuropsychology, podiatry and vascular surgery. This expansion allows clinicians to report measures that better match their scope of practice, making participation more meaningful and relevant.
We understand these updates may sound complex. Right? Well, that’s where Paymedics enters. With Paymedics MIPS Reporting and Consulting Services across the USA, you don’t have to stress about anything. As our team always stays one step ahead of CMS updates, keeps a close watch on every rule change, and manages your reporting process from the very beginning to the end. Partnering with Paymedics means you can stay completely carefree about tracking performance thresholds, selecting the right measures, or keeping up with evolving MVP requirements, because we have it covered.
Let Paymedics be your MIPS reporting and consulting partner, so you can focus on caring for patients while we handle the compliance and reporting.
