MIPS Reporting ServicesThat Protect Your Medicare Revenue
Results vary by specialty, payer mix, claim volume, documentation quality, existing A/R, and current billing performance.
The Real Cost of Getting MIPS Wrong
Our MIPS reporting services what's included
Eligibility check
We check every clinician at both the individual (NPI) and group (TIN) level using CMS's participation lookup, and tell you whether to report as an individual, a group or an MVP subgroup.
Measure & MVP Selection
We pick the quality measures your documentation already supports, check them against 2026 benchmarks, and tell you whether traditional MIPS or an MVP scores better for your specialty.
Data Capture & Validation
Monthly checks on data completeness and performance rates, so gaps get fixed in June, not discovered in February.
Improvement Activities
We choose activities that fit how you already practice, set the 90-day windows, and keep the documentation CMS can ask for.
Promoting Interoperability Support
We track your 180-day reporting period, the Security Risk Analysis and the SAFER Guides attestation, and apply for reweighting when you qualify.
MIPS Registry Submission
We prepare, validate and submit your data through [REGISTRY PARTNER NAME], a CMS-qualified registry, during the January–March window.
Targeted Review
If CMS scored something wrong, we file the targeted review request for you.
Why your billing company should run your MIPS
MIPS reporting in 2026 what counts and what changed
CMS finalized the 2026 rules in November 2025. The headline is stability: the performance threshold stays at 75 points through the 2028 performance year. The details still trip practices up, so here’s what applies to 2026 data.
Who Has to Report?
CMS Low-Volume Threshold Rule
Performance Pillar
Performance Pillar
Select and report on 6 measures (including at least 1 outcome or high-priority measure) for the entire calendar year.
- Data Completeness: 75% threshold required for each measure.
Cost
Automatic Scoring
Nothing to submit directly. CMS calculates your cost score automatically based on Medicare Part B claims submitted throughout the year.
- Coding Impact: Precise diagnosis coding accurately reflects patient risk.
Promoting Interoperability
CEHRT Required
Complete the full measure set over 180 continuous days. Includes mandatory Security Risk Analysis (SRA) risk management attestation.
- Small Practice Rule: Automatic reweighting available for eligible practices.
Improvement Activities
Practice Attestation
Attest to 2 activities for a minimum 90-day window. Small, rural, HPSA, or non-patient-facing clinicians require only 1 activity.
- Documentation: Keep proof on file in case of CMS data validation audits.
MIPS Performance Breakdown
Explore each category weight, requirements, and compliance rules.
What's new for 2026
- 6 new MIPS Value Pathways, bringing the total to 27, including podiatry, neuropsychology, pathology and radiology.
- 5 quality measures added and 10 removed. If you reported a retired measure last year, you need a replacement.
- Improvement activities reshuffled: 3 added, 12 removed in total, and the health equity subcategory replaced.
- New cost measures will now get a 2-year feedback-only period before they count toward your score.
Our MIPS submission process
We prepare and validate your data, then complete your MIPS registry submission through a CMS-qualified registry or as your authorized third party in the CMS QPP portal. If a QCDR gives your specialty a better shot at a high score, we’ll tell you.
Readiness review (week 1)
Eligibility, last year's feedback report, and your current documentation.
Reporting plan (week 2)
Measures, activities, PI timeline and submission method, in writing.
Monthly tracking
Performance rates and data completeness checked against your claims every month.
Q4 validation
Close gaps before December 31, while there's still time to fix them.
Submission (January–March)
Data validated and submitted, with confirmation sent to you.
Score review and appeal
We check CMS's preliminary and final scores and file a targeted review if anything is wrong.
MIPS registry pricing
| Plan | Price | What you get |
| MIPS with SBS MD billing | [INCLUDED / $X per clinician per year] | Full-year MIPS reporting and consulting for practices on our RCM plan (3% of monthly collections, no setup fees, no long-term contract). |
| Standalone MIPS reporting | [$X per clinician per year] | Eligibility check, measure selection, monthly tracking, registry submission and score review. You keep your current billing company. |
| Late-season rescue | [$X per clinician] | For practices starting after October: data review, gap fixes where still possible, and submission. |
Specialty MIPS and MVP support
Generic measures score poorly for specialty practices. We plan around the measures and pathways that fit your work.
Behavioral health & psychiatry
Depression screening and follow-up, suicide risk assessment, and specialty registry measures where standard ones are thin.
Physical and occupational therapy
Functional outcome measures and the Rehabilitative Support for Musculoskeletal Care MVP.
Anesthesiology
A small measure set, so data completeness on every eligible visit matters even more.
Anesthesiology
Perioperative and patient-safety measures, usually reported at the group level.
Podiatry
New dedicated MVP in 2026.
Primary care and internal medicine
High-volume preventive measures where small documentation fixes move the score.
Neuropsychology
New dedicated MVP in 2026.
- Fast 24-Hour Onboarding Setup Available
MIPS Calendar what to do now
When | What happens | What you should do |
Now through Dec 31, 2026 | Last months of 2026 data | Close quality gaps; confirm PI and IA documentation |
Jan 2 – Mar 31, 2027 | Submission window for 2026 data | Submit early; keep confirmation |
Summer 2027 | Preliminary and final scores released | Review scores line by line |
After final scores | Targeted review window | Challenge any scoring error |
Jan 2028 | 2026 payment adjustment applied | Penalty or bonus shows on Part B payments |
2027–2028 | Last years of traditional MIPS | Test an MVP before it becomes required |
How to choose a MIPS reporting company
- How do you submit?
- What's the price per clinician, in writing?
- Who checks the data during the year?
Once-a-year submission is not MIPS consulting.
- Do I see my score before submission?
- Is targeted review included?
- Have you reported for my specialty?
Ask which measures they’d pick for you and why.
If a company leads with "earn up to 9%", ask them what their clients actually earned.
Frequently Asked Questions
No setup fees. No long-term contracts. Just a team that gets it done.
Find out where your MIPS score stands before CMS does.
Send us your TIN and last year's MIPS feedback report. Within 5 business days we'll send you, in writing, your eligibility status, your likely score range, and the three fixes that matter most. No cost, no contract.
Some applications take weeks; others take months. Your payer, state and any missing information affect the wait. We’ll discuss timing during your consultation.
Payer calls, document requests and renewals take time. We handle that work and keep your staff updated on what each application needs.
Yes. We track payer renewals, Medicare revalidation, CAQH re-attestation and license deadlines, then coordinate the documents and updates each one needs.
