Get Up to 9% Incentive on Medicare Reimbursements with Our MIPS Reporting Services
Each year, practices lose thousands because of complex MIPS requirements. Transcure’s certified MIPS consultants take over your reporting and act as your partners to maximize your revenue collection.
No missed points. No penalties. Only performance-based rewards.
What is MIPS Reporting, and Why Does It Matter?
MIPS reporting is the process of tracking and submitting performance data to CMS under the Merit-Based Incentive Payment System. It determines if your practice earns bonuses or faces penalties on future Medicare reimbursements.
Accurate MIPS reporting protects revenue and rewards quality care, which makes it essential for every Medicare Part B provider.
- Avoid costly Medicare penalties
- Earn higher reimbursement bonuses
- Prove quality and efficient care
- Strengthen long-term financial stability
Our Success in Numbers
How to Determine If You Are Eligible for MIPS Reporting?
To determine your MIPS eligibility, you should understand the criteria early to avoid compliance risks and plan for maximum reimbursement. You are eligible for MIPS reporting if you:
- Bill $90,000 or more in Medicare Part B allowed charges annually.
- Provide care for 200 or more Medicare beneficiaries in a year.
- Deliver 200 or more covered professional services to Medicare patients.
- Are a physician, physician assistant, nurse practitioner, clinical nurse specialist, or certified registered nurse anesthetist.
- Belong to an eligible group or virtual group participating under CMS guidelines.
Start your MIPS Reporting Journey with Confidence
Our expert, Dr. Attiya Saqib, is an AAPC-trained MIPS consultant who will help you report data to CMS. She is managing specialized MIPS reporting services at Macralytics, to counsel practices around the United States.
If your practice meets the MIPS eligibility criteria, the next step is making sure your performance data works for you, not against you. Many eligible providers lose incentives simply because they don’t report accurately or on time. With our MIPS consulting services, you can turn eligibility into opportunity and protect your Medicare reimbursements.
What are the Performance Categories for MIPS Reporting 2025?
CMS evaluates each practice across four performance categories. Together, these categories determine your final MIPS composite score (0–100 points). That score directly impacts your Medicare Part B reimbursements in the 2027 payment year.
Quality – 30% of Final Score
The Quality category assesses how well clinicians deliver care that improves patient outcomes, safety, and satisfaction. Practitioners are required to report 6 quality measures, including 1 outcome or high-priority measure.
Cost – 30% of Final Score
The Cost category evaluates how efficiently clinicians use resources while maintaining quality care. CMS automatically calculates this score using your Medicare claims data, so no separate reporting is needed.
Improvement Activities (IA) – 15% of Final Score
This category rewards practices that engage in activities aimed at improving clinical practice, care coordination, and patient engagement. You are required to report on activities totaling 40 points over a 90-day period within the performance year.
Promoting Interoperability (PI) – 25% of Final Score
The PI category evaluates how effectively clinicians use Certified EHR Technology to exchange health information. PI has a 90-day minimum reporting period, and you need to report measures under objectives like e-Prescribing.
How Transcure Helps Practices in the MIPS Reporting Process?
With Transcure’s MIPS services, providers no longer need to struggle with complex CMS requirements. Our experts manage every MIPS reporting step, as explained below:
Determine Eligibility
First, we verify your MIPS eligibility based on CMS criteria like Medicare billing, patient volume, and provider type. We use the CMS-provided QPP Participation Lookup Tool to check eligibility.
Select Performance Measures
We identify the most relevant and high-scoring quality measures for your specialty. Our MIPS quality reporting consultants perform proper measure selection to boost incentive potential.
Collect and Monitor 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.
Review and Validate Data
Before submission, our MIPS consultancy experts review data for accuracy and compliance. This step minimizes MIPS reporting errors that could lead to score reductions or CMS audits.
Submit Data to CMS
Acting as your MIPS partner, Transcure handles timely submission through approved MIPS portals. Our team makes sure that your data meets all CMS validation requirements.
Analyze Results and Optimize
Now, CMS reviews the data and assigns a MIPS final score (0–100). Upon analyzing this score, we identify improvement areas to help you earn higher scores in the next reporting cycle.
How Does MIPS Scoring Impact Your Medicare Reimbursements?
The MIPS reporting 2025’s payment adjustment system works based on performance scores or quality measures MIPS.
- According to the QPP CMS calculator, if your score is between 0 and 18.75 points, you’ll face a negative MIPS adjustment of -9%.
- For scores ranging from 18.76 to 74.99 points, the adjustment is negative, but it gradually decreases from -9% to 0%, following a sliding scale.
- If you reach 75 points, which is the performance threshold, there is no payment adjustment, meaning the MIPS adjustment is 0% (neutral).
- Lastly, for scores between 75.01 and 100 points, you’ll receive a positive MIPS payment adjustment that is greater than 0%.
How will MIPS Reporting Change in 2026?
The MIPS program is changing with the introduction of the new MIPS Value Pathways (MVPs). Starting in 2026, MVPs will streamline reporting by focusing on specialty-specific measures, outcomes, and cost metrics. According to reports, 6 new MVPs are proposed for 2026, including Diagnostic Radiology, Interventional Radiology and more.
But transitioning to MVPs isn’t just about ticking CMS boxes, it’s about strategic preparation that secures higher reimbursements. At Transcure, our MIPS reporting services help practices adapt early, so you stay compliant and ready for what’s next.
Why Choose Transcure for MIPS Consulting Services?
With its MIPS reporting and consulting services, Transcure maximizes reimbursement potential. Our certified experts don’t just submit your data, we provide the following benefits:
Year-Round Support
With Transcure, you enjoy continuous tracking, feedback, and performance optimization instead of last-minute data submissions.
Certified MIPS Consultants
You get to work with CMS-certified professionals who deeply understand MIPS rules and measure requirements.
Specialty-Focused Expertise
Our MIPS reporting consultants make strategies fit for your specialty’s unique clinical and reporting needs.
Act as Your Partner
We collaborate closely with your team, guiding decisions and tracking progress, instead of just helping you submit MIPS reports.
MIPS Registry Submission Services
- Guidance for CMS submissions
- Support for measure selection and reporting
- Performance tracking and improvement
- Accurate data submission and compliance
The Only Subscription You Need for Your MIPS Submission
The Support You Need, When You Need It
- Submit for multiple performance categories
- Ongoing support available to assess your reporting
- Calculate your scores in real time before submission to CMS
Get 9% Bonus on Your Medicare Reimbursements
Frequently Asked Questions (FAQ's)
What is Merit-based Incentive Payment System documentation, and why is it important?
MIPS is a program designed to reward healthcare providers for quality care, cost efficiency, and meaningful use of technology. It combines performance data in categories like quality, improvement activities, and interoperability to determine Medicare payment adjustments.
What documents are required for MIPS reporting?
For MIPS reporting, providers need to submit EHR performance reports, patient encounter records, quality measure data, improvement activity evidence, Promoting Interoperability logs, and attestation forms. Keeping detailed records helps validate submissions and protect your practice during CMS audits or reviews.
What happens if I miss a MIPS submission deadline?
Missing a MIPS submission deadline can lead to serious financial consequences. If you fail to submit on time, CMS automatically assigns a zero score, resulting in the maximum negative payment adjustment (up to –9%) on future Medicare reimbursements.
What is the deadline for MIPS reporting?
The deadline for MIPS reporting typically falls on March 31 of the year following the performance year. For example, data from the 2025 performance year must be submitted to CMS by March 31, 2026.
Can I update or correct my MIPS data after submission?
Yes, you can update or correct your MIPS data after submission, but only within the CMS submission window. Once the deadline (usually March 31) passes, changes are no longer accepted. During the open period, you can edit or withdraw data to fix errors and improve your final MIPS score.
Trusted Mips Reporting Services
Dr. Emily Rodriguez
Family Physician
“Transcure made MIPS reporting effortless for our clinic. Their experts handled everything and helped us secure the full Medicare incentive.”
Dr. Jacob Miller
Orthopedic Surgeon
“Before Transcure, MIPS reporting was stressful. Now it’s seamless. They ensured accuracy and maximized our score without disrupting workflow.”
Dr. James Patel
ENT Specialist
“Transcure provides personalized MIPS reporting assistance. Their expertise helps us present accurate submissions and get reimbursements every performance year.”
