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CMS-qualified MIPS registry
Your EHR writes the note. Ours writes the paycheck.
- Measure
- 236 · BP control
- Category
- Quality
- Registry
- Prime Well, CMS-qualified
- Status
- Captured
- Procedure
- 99214
- Diagnosis
- I10, E11.9
- Scrubbed
- Payer rules applied
- Status
- Submitted
- Patient
- R. Alvarez, 58
- Visit
- Follow up, hypertension
- Assessment
- BP 128/78, controlled on current regimen
- Plan
- Continue lisinopril, recheck 3 months
- Time
- 52 seconds to draft
You didn't take the MCAT to do data entry.
Here is the week you actually have, and where the money goes missing in it.
You see patients till five and chart till nine. A claim comes back denied for something that was already written in your note. Your biller emails asking for documentation you have documented twice. Then in January, someone mentions your MIPS score came in under 75, so Medicare is adjusting last year’s payments down for reasons that have nothing to do with medicine.
That is not a documentation problem. Your note, your claim and your Medicare score live in three different systems, and every gap between them is a place where money leaves quietly. Four vendors, four invoices, and no conversations between them.
Prime Well exists to collapse that into one pass.
Where it goes
- Charting after hours
- 2 hrs / day
- Denials on documented care
- Rework, twice
- Downcoding you never see
- Silent loss
- Missed MIPS threshold
- Up to 9% of Medicare
- Separate registry fee
- Annual, on top
None of these are clinical failures. They are handoffs nobody owns.
Reach out to our team directly for early response!
Fifteen minutes, the real product, your actual numbers. No slide deck, no discovery call about a discovery call.
Book your demo and we'll bring your numbers
We will never share your info with anyone.
Switching EHRs is the scary part, so we do it for you.
Nobody stays on a system they dislike because they like it. They stay because moving feels like a data loss event with a five figure invoice attached.
- What comes across
Charts and full clinical history, demographics, problem lists, medications, allergies, immunizations, scanned documents, appointment history, and your open accounts receivable.
- How it runs
We map and validate your data, then run both systems side by side so you are never working blind. You pick the cutover date.
- Mid year is fine
We carry partial year quality data across so your Medicare reporting stays continuous through the switch.
- Where we move you from
Direct migration paths, already built and tested:
Migration, everywhere else
Migration with Prime Well
If we cannot move your data cleanly and completely, you do not pay us anything.
That sits in the agreement, not just on this page.
Medicare pays you for reporting. We are the ones who file it.
Every other EHR hands your quality data to a third party registry and hopes it lands. Prime Well is CMS-qualified, and we have been submitting for real practices for years.
All four categories scored continuously against the 75 point threshold, not assembled in a panic each January.
MVPs
Focused, specialty aligned measure sets so you choose from a shortlist rather than 200 measures and a hunch.
Promoting Interoperability
The category that quietly sinks small practice scores, handled as a byproduct of charting normally.
HEDIS
Value based contracts tracked from the same clinical data. No second round of data collection.
Immunization registries
State submissions handled in the background, particularly for pediatrics and primary care.
PDMP
Prescription monitoring checks inside the prescribing screen, no second login.
The MIPS performance threshold sits at 75 points, and CMS has held it there through the 2028 performance year. Score below it and Medicare adjusts your payments down, by as much as 9 percent.
Solo physicians and small practices get penalized at far higher rates than large groups. That gap is not clinical. It is that nobody in a three person office has quality reporting in their job description. With Prime Well, somebody does.
Every EHR has AI now. Here is what happens after you sign.
Ambient scribing was the story of 2025. By now the big platforms bundle it at no charge and standalone tools start near a hundred dollars a month. The question that moves money is what happens in the ninety seconds after you hit sign.
01 Speak
You talk. It writes.
Ambient AI drafts a specialty shaped note from the visit. You review, adjust, sign, usually in under a minute.
- Output: a signed note
02 Code
It codes, and warns you first.
CPT, ICD-10 and HCPCS from your own words, with the supporting text highlighted. If documentation would downcode you, you see it before you sign.
- Output: verified codes
03 Bill
It bills.
Claims scrubbed against payer rules and submitted. Denials arrive with the reason attached and the fix suggested. Or hand the whole thing to our RCM team.
- Output: a clean claim
03 Report
It reports.
That same encounter feeds your Medicare measures automatically, through our own registry. Your score moves the same day the visit happens.
- Output: a scored measure
You did one thing. The system did four.
What a normal Tuesday looks like.
Not a feature list. The actual shape of the day.
- 8:45
Before the first patient
One screen. Today's schedule, who is confirmed, intake forms already in the charts.
In the room
You talk normally. No typing, no separate scribe app. The draft note is ready before you leave.
Before you leave the room
Review, fix what is wrong, sign. Codes suggested with justifying text highlighted.
Next patient
Behind you, the claim went out scrubbed and the visit scored into your Medicare measures.
End of clinic
Prescriptions sent, PDMP checks done, immunizations pushed to state registry.
You go home.
Notes signed, claims out, MIPS score current.
Configured for your specialty, and everything else in one login
Specialties do not just document differently, they report differently. A system set up for family medicine will quietly cost an orthopedic practice points and dollars every year.
- Smart Scheduling
Waitlist auto-fill, no-show flags, reminders by text and email.
- Patient portal and intake
Forms completed before arrival, flowing into the chart.
- E-prescribing with EPCS
Controlled substances and prior authorization in the same flow.
- Labs and imaging
Bidirectional orders and results. Abnormals surface instead of sitting in a queue.
- Telehealth
Native video inside the chart.
- Interoperability
TEFCA ready with FHIR APIs.
- Mobile
Full chart access on iOS and Android.
- Analytics
Collections, A/R aging, denial reasons, payer performance.
- Security
Encryption at rest and in transit, role based access, full audit logs, US hosted data, BAA as standard.
Fifteen minutes. The real product. Your actual numbers.
No slide deck. We show you the system running, walk through what leaving your current EHR looks like, and estimate your live Medicare exposure on the call.
FAQs
Frequently Asked Questions
Stuck on something? Everything practices ask us before they switch, answered in one place.
How long does migration really take?
How long does migration really take?
Weeks rather than quarters for most small and specialty practices. Both systems run in parallel until you are comfortable, then you pick the cutover date.
Do I still have to pay a separate MIPS registry?
Do I still have to pay a separate MIPS registry?
No. We are a CMS-qualified registry ourselves. One system, one submission, one company responsible.
Can I switch mid year without wrecking my MIPS score?
Can I switch mid year without wrecking my MIPS score?
Yes. We bring partial year quality data across so your reporting stays continuous.
Who is legally responsible for an AI written note?
Who is legally responsible for an AI written note?
You are. The AI drafts, you review and sign, and every edit is logged. Nothing enters the record without a clinician’s signature.
Is my patient data used to train AI models?
Is my patient data used to train AI models?
No. Your data serves your practice. It is not used to train external models.
Can I keep my current billing company?
Can I keep my current billing company?
Yes. The billing tools are yours. Our RCM service is an option, not a condition.
