MIPS Learning Center

The MIPS learning center was created to ensure you have all the information necessary to succeed with MIPS reporting in 2017. Whether you are just doing research, have questions about eligibility, or specific MIPS registry measures, you will find answers to all your MIPS questions below.






Step 1 : What is MIPS?

On January 1, 2017, CMS launched the Merit-based Incentive Payment System (MIPS). This new program merges measure reporting from previous CMS quality initiatives, while also strengthening financial incentives for participation. MIPS combines and streamlines familiar activities into one program:

  • MIPS Quality - Previously Physician Quality Reporting System (PQRS)
  • ​Advancing Care Information (ACI) - Previously the EHR Incentive Program (Meaningful Use)
  • Improvement Activities - Previously quality improvement activities performed without reporting
  • Cost - Previously Value-Based Payment Modifier 
    (starts in 2018)
Learn the basics of MIPS in an introductory MIPS Webinar

Under MIPS reporting, a provider's MIPS Composite Performance Score (CPS) is rated on a scale from 0 to 100, and significantly influences Medicare payment adjustments for each payment year. MIPS scores are calculated based on each providers level of participation in the different categories and ultimately determine the CMS penalty or level of incentive earned for a reporting year. 

Click to read: What is MIPS? FAQ





Step 2: Are you eligible?

During the 2017 performance year, the pool of eligible clinicians (formerly referred to as eligible providers) is shrinking significantly. However, any clinician that bills Medicare Part B is encouraged to report in 2017 and 2018. Check if you are eligible to report in 2017 below. 

In 2019 the pool of eligible clinicians expands to include additional professions. 

Check your eligibility


Click to see exemptions for MIPS Eligible Clinicians

Stay up to date with the latest news regarding MACRA and MIPS


60 %
MIPS Quality
25 %
Advancing Care Information
15 %
Improvement Activities
0 %
Cost (starts 2018)

Step 3 : MIPS Performance Categories

With launch of MIPS came the introduction of new performance categories. Each of the categories below is an updated version of a previous quality program that has been consolidated under MIPS.

MIPS Quality: 
The MIPS Quality Performance Category is closely related to its predecessor, the Physician Quality Reporting System (PQRS). Much Like PQRS, the Quality Performance Category can be reported individually or as a group, and requires submission of quality measure information to CMS. It is the most valuable performance category in 2017, worth 60% of the MIPS composite score.

Read more about MIPS Quality

Advancing Care Information: 
The Advancing Care Information Performance Category is Meaningful Use updated to be more flexible, customizable, flexible and focused on patient engagement and interoperability.

Read more about Advancing Care Information

Improvement Activities: 
The Improvement Activities Performance Category is a new concept introduced by MIPS reporting and rewards eligible clinicians for participating in activities related to their patient population. Clinicians and groups can choose to participate in activities most relevant to both their practice and patient population. The Improvement Activities Performance Category is worth 15% of the MIPS Composite Performance Score in 2017.

Read more about Improvement Activities 

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Why does MIPS matter?

Piece together the MIPS performance puzzle with a free quick reference guide.

Claim your free guide!


Step 4: Payment Adjustment and Pacing Options

Payment Adjustment

Much like the Value-Based Payment Modifier Program (VM) of the past, MIPS determines each eligible clinicians’ payment adjustment based on how they rank versus their peers. The score that is used to determine the performance threshold for MIPS is called the MIPS Composite Score. This scores is calculated on a scale from 0 to 100 and is comprised of the 3 performance categories referenced in
step 3.

Read more about the financial impact of MIPS

Pacing Options

To ease the burden of transitioning to MACRA/MIPS, CMS has introduced 3 pacing options for at least the performance year 2017. Each pacing option has different reporting specifications; however, all three options offer the safety of knowing the MIPS negative payment adjustment can be avoided.

Read more about available pacing options


Step 5 : Get Started with MIPSPRO

2017 CMS MIPS Qualified Registry

Under MIPS, performance matters! It's no longer enough to just report quality data. In 2017, CMS penalties and incentives will reach 4% and although Medicare quality reporting is complicated, MIPSPRO makes the reporting process easy, while; our quality reporting team guides you through the MIPS reporting process, and to success!

MIPSPRO delivers key features to ensure your success

  • Real-time Dashboards
  • ​MIPS Quality, ACI & IA for all specialties and all measures
  • MIPSPRO adapts to your practice
  • Choose your pace of reporting
  • Integrated data
  • Data Validation & Support

With prices starting as low as $229 per provider/year, starting today is the key to MIPS reporting success in 2017.

Get Started Today