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Updated for the 2026 MIPS performance year
MIPS Reporting & Consulting Services From a CMS-Qualified Registry
We plan, track and submit your MIPS data all year, so your MIPS reporting stays accurate and on time. You clear the 75-point threshold, avoid up to a 9% Medicare penalty, and get ready for the 2029 move to MVPs.
- CMS-Qualified Registry
- HIPAA-compliant · BAA signed
- Works with any certified EHR
- Individual · Group · MVP · APP
MIPS Consulting Services: Maximize Your Medicare Payments with MIPS Reporting
MIPS services delivered with precision, MIPS streamlined workflows, exceptional results.
Full Upfront Payment
$5000
SAVE 50%
$2500/per provider
- Meets MIPS Reporting Requirements
Two Split Payments
$7000
SAVE 50%
$3500/per provider
- $2000/upfront
- $1500/after data submission
- Meets MIPS Reporting Requirements
Redefining The Value Of Care Through MIPS Reporting
We cut through the red tape of healthcare payment rules with our expert MIPS services. We turn the headache of MIPS reporting into real money in your pocket.
Our team knows the ins and outs of MIPS healthcare and handles the heavy lifting, so you can focus on your patients. With our MIPS consulting services, you’ll stop leaving money on the table and start getting paid what you deserve. We keep up with all the latest MIPS reporting changes, including MIPS data submission requirements, so you don’t have to. We make MIPS work for your practice, not against it!
MIPS Score Calculator
Enter your total annual income to see potential adjustments.
*Estimates based on standard CMS MIPS adjustment rates.
What's the Update on MIPS?
The Main Changes In MIPS Quality Measures
MIPS introduced several updates in 2026 that will affect reporting requirements, performance metrics, and MVP reimbursement rates. These changes impact how MIPS reporting are delivered, reflecting CMS’s ongoing focus on improving healthcare quality, reducing disparities, and enhancing the patient experience. Here’s how it will go:
- Quality (30% of total score): Performance category measuring healthcare processes, outcomes, and patient experience.
- Cost (30% of total score): Evaluation of resource use and efficiency in delivering care.
- Improvement Activities (15% of total score): Implementation of clinical practice improvements and care coordination.
- Promoting Interoperability (25% of total score): Effective use of EHR and health information exchange.
Why Most Medical Practices Lose Points (and Money) in the MIPS Program
01
Wrong measures, capped points
Topped-out measures cap at 7 points. Measures with no benchmark can score zero. Pick wrong and 75 is out of reach.
02
Data that fails completeness
Report under 75% of eligible patients and the measure earns 0 points, or 3 for small practices.
03
A Cost score you never see coming
I co-founded one. I know the launch pressure, the trust gap and the content it takes to close it.
04
One missed item sinks PI
Skip the Security Risk Analysis or a required attestation and the full 25% PI category can score zero.
05
Rules change every year
New measures, new MVPs and proposed core measures. Busy staff can’t track it all.
06
The December scramble
Gaps found at year end can’t be fixed. Quality is measured across all 12 months.
Choose the MIPS Support Level That Fits Your Practice
Every plan includes CMS submission by a qualified MIPS registry. Price depends on clinicians, TINs, locations, specialties and reporting path.
MIPS Registry Submission
For practices with an in-house MIPS lead.
Features
- Eligibility check
- Data validation
- Quality, PI and IA submission
- Submission confirmation
- Email support
Full-Service MIPS Reporting
Everything in Registry Submission, plus:
Features
- Dedicated MIPS consultant
- Measure strategy & score modeling
- In-house Security Risk Analysis
- Quarterly performance reviews
- IA documentation & Cost review
- Staff training
- Hardship & targeted review support
MVP & Group Reporting
Everything in Full-Service, plus:
Features
- MVP selection & registration
- Subgroup setup
- Multi-TIN, multi-specialty reporting
- Traditional vs MVP comparison
- 2029 transition roadmap
- Audit-ready document pack
- Priority support
Reach out to our team directly for early response!
MIPS services delivered with precision, MIPS streamlined workflows, exceptional results.
Fill out the form for a personalized quote!
We will never share your info with anyone.
Unified Data Collection
Streamlining your MIPS reporting services begin with how your data is gathered, aggregated, and verified. Our Unified Data Collection process eliminates manual errors by combining cutting-edge automation with human expertise to ensure your performance is fully optimized.
Phase 1: Automated AI Extraction
Our advanced AI data integration layer connects directly with your EHR and practice management systems to automate the heavy lifting.
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Continuous Data Aggregation: Automatically extracts clinical quality data and patient encounter metrics across all locations.
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Efficiency at Scale: Eliminates manual data entry to save your staff hundreds of hours and provide instant trajectory insights.
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Instant Gap Identification: Scans active data streams in real-time to flag missing documentation before it impacts your score.
Phase 2: Expert Data Analyst Validation
Once the AI aggregates the raw data, our senior medical data analysts step in to conduct a rigorous quality audit.
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Discrepancy Resolution: Manually reviews all automated flags, correcting coding errors and complex clinical scenarios.
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Strategic Optimization: Pinpoints exactly which specific quality measures will net your practice the highest possible decile score.
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Audit-Ready Verification: Formally signs off on the final compliance package to ensure it stands up to strict CMS scrutiny.
What's Included in Our MIPS Reporting Services
One team runs the whole cycle, from eligibility to audit.
Eligibility & participation check
Every NPI and TIN checked in the QPP Participation Status Tool, plus low-volume threshold, special statuses and APM status.
Reporting strategy
Individual, group, subgroup, MVP or APP. We model each path and pick the one that scores highest.
Quality measure selection
Six measures, including an outcome or high-priority measure, chosen by benchmark, not habit.
EHR data extraction & validation
QRDA, CSV or Excel pulls. We check numerators, denominators and exclusions early, not in March.
PI with in-house Security Risk Analysis
We run your required SRA and check e-prescribing, HIE, patient access, public health measures and your CEHRT ID.
Improvement Activities
We pick, document and attest activities with proof that holds up in an audit.
Cost category review
We review attribution and cost measures using your claims and CMS feedback reports.
Quarterly performance reviews
A score dashboard and a fix list every quarter, so nothing waits for December.
CMS submission
We submit as your CMS-qualified registry before the deadline and send written confirmation.
Features of MIPS Reporting Services
- MIPS Reporting in 2026
It is important because it directly affects Medicare payments. Better performance means higher MVP reimbursement, while if you have lower scores, it can lead to penalties. - MIPS scores made public
Staying compliant with CMS rules and keeping up with healthcare changes helps in the long run. - Better Earnings
By MIPS reporting, clinicians can secure better earnings. - Improved Reputation
It can boost a clinician’s reputation and make them more competitive.
Why Choose Us?
Our MIPS reporting company focuses on efficiency, accuracy, and transparency in MIPS reporting. Our effective solutions help healthcare providers with real-time insights, smooth communication, and secure data management.
- We Are a Trusted CMS-Qualified, MIPS Company
- Experienced MIPS Consulting Services
- Streamlined & Accurate Workflow
- Proactive Approach for Timely Reporting
- Reliable & Dedicated Client Support
Why Practices Choose Prime Well Med Solutions as Their MIPS Registry
We are the registry
We submit straight to CMS. No middleman, no hand-offs.
We raise the score before we submit
Most vendors stop at uploading a file. We work on your score all year.
Security Risk Analysis in-house
The required PI measure, done by the same team.
Cost is not a black box
Our RCM team reads claims data, so we see what drives your Cost score
One point of contact
A named consultant who knows your practice and your measures.
Ready for 2029
MVP planning is built into every plan.
MIPS Reporting for Every Specialty and EHR
Solo clinicians, small practices of 15 or fewer, multi-specialty groups and ACO participants reporting through the APP.
Specialties
EHRs
FAQs
MIPS Reporting Frequently Asked Questions
Stuck on something? We are here to help with all your questions and answers in one place
What are the main MIPS performance categories?
MIPS has four main categories: Quality, Promoting Interoperability, Improvement Activities, and Cost. Each category affects the final score and payment adjustment.
What is MIPS, and why is it important?
MIPS (Merit-Based Incentive Payment System) determines Medicare payment adjustments based on a clinician’s performance. It is important because good performance can lead to higher reimbursements, while poor scores result in penalties.
What are MIPS reporting services?
A team that plans your MIPS strategy, collects and checks your data, and submits it to CMS. Good services also raise your score during the year, not just at submission.
Is it too late to improve my 2026 score?
Usually not. Quality covers the full year, so better data and gap closing still count. PI needs 180 continuous days and IA needs 90, so we check those windows first.
When is the 2026 MIPS reporting deadline?
The window usually opens in early January 2027 and closes March 31, 2027. Confirm the exact dates on qpp.cms.gov.
How can a MIPS Qualified Registry help with reporting?
MIPS Qualified Registry simplifies the reporting process by collecting, analyzing, and submitting data to CMS on behalf of healthcare practitioners. This helps to ensure accuracy, saves time, and maximizes incentive payments.
When is the Latest MIPS reporting deadline for 2026?
The exact deadline is set by CMS each year, but MIPS healthcare data for 2026 needs to be submitted by the first quarter of 2026.
What does a CMS-qualified registry do?
CMS approves the registry to collect, validate and submit Quality, PI and IA data for clinicians and groups. Prime Well is a CMS-qualified registry, so we submit directly.
How are you different from my EHR vendor?
Your EHR vendor supports the software. We own the outcome: strategy, data checks, SRA, Cost review and submission.
What happens to MIPS after 2028?
CMS has proposed ending traditional MIPS after 2028. From 2029, most clinicians would report through an MVP. We help you test MVPs early.
Can you work with my EHR?
Yes. We work with any certified EHR that exports QRDA, CSV or Excel data. You do not need to switch systems.
What is the MIPS performance threshold for 2026?
75 points. Below 75 means a negative adjustment of up to 9% in 2028. Above 75 can earn a small positive adjustment.
