QPP Reporting for Hospitals & Health Systems

Under the Quality Payment Program, clinicians are reimbursed for Medicare Part B services based on their participation in the Merit Based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs). Performance under both tracks in 2018 can result in a positive or negative payment adjustment of up to 5% for the reimbursement of Medicare part B services in 2020. 

Hospitals and Health Systems face especially unique challenges when navigating these new requirements. The reimbursement of Medicare Part B services depends directly on the performance of each eligible department, clinic, and clinician.  Accessing multiple Electronic Medical Records or billing software to get the right data from the right providers is another challenge, but crucial to successful reporting.  Additionally, hospitals must critically assess reporting options and make the decision about whether to report as an individual or as a group, and determine clinician eligibility as these factors will impact the ease of reporting and overall reimbursement.

Healthmonix breaks down barriers to success for Health Systems by providing a platform to aggregate and assess MIPS & ACO performance in real time.

Real-time Dashboards

Identify and respond to the data you capture to maximize your reimbursement.

Centralize Performance

MIPSPRO supports all specialties & all measures for all MIPS performance categories.

Choose at Submission

Simplify the decison of whether to report individually or as a group by choosing whichever will provide a higher score at submission.

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2017 CMS MIPS Qualified Registry

Watch the MIPSPRO demo

Data Validation & Support

Our quality experts validate your data before submission to CMS to ensure your reporting success.

Choose your pace

Whether you are reporting to achieve maximum incentives or just to avoid the penalties, MIPSPRO can help.

Integrated data

Sending us your data is easy with our API, data upload, and transmission services.

Multiple EHRs? No problem!

Healthmonix has provided streamlined reporting options as a CMS Qualified Registry since 2009. From solo providers to large Health Systems, we provide unmatched support and adaptable reporting plans to match your goals.  In 2017, we successfully submitted data from 24,000,000 patient visits and 233 different EHRs, leading to a 98.6% Customer Satisfaction Rating for our MIPSPRO Registry.  Our new platform, ACOPRO, allows Accountable Care Organizations to track and report 15 CMS Web Interface (WI) quality measures.


MIPS Educational Resources 

The Overview of MIPS Reporting fact sheet condenses the most important information to know when you are starting to formulate your MIPS plan. This sheet can act as a quick-reference guide for performance category weights, the payment adjustment schedule, and eligibility requirements.  

The MIPS Readiness Checklist outlines the necessary steps for the "Pre-Reporting", "Reporting", and "Post Reporting" stages.  This includes a comprehensive list of important questions to help you prepare for each stage of the reporting process.  Use the questions to plan ahead and store all of the information in one place including eligible TINS, staff responsibilities, and selected measures.  Also use the sections for Reporting and Post-Reporting to guide you through measure selection and successful submission.

Our Client Services Sheet provides a comprehensive overview of our list of services including assigned account management and in-depth account setup support for clients cover 100+ clinicians

The Data Integration Product Sheet details our Data Integration Services.  Getting the right data from the right providers for successful reporting can be incredibly challenging, especially when navigating multiple EMRs.  Our data integration services streamline and expedite the process by accepting information from your EMRs and storing it all in one place.  This product sheet reviews the necessary codes, as well as the different types of data integration to help you determine which method is best for you.

MIPSPRO System Information