Pricing for MIPS consulting services is calculated yearly by TAXID and depends on factors such as the size of the practice, specialty, EHR system, and other considerations. 1-5 provider practices typically range from $4,000-$6,000 per year all inclusive.

To be eligible for MIPS, healthcare providers must meet specific criteria, including being a Medicare Part B clinician, exceeding the low-volume threshold by billing more than $90,000 in Medicare Part B services, seeing more than 200 Medicare Part B patients, and providing over 200 covered services. You can check your MIPS eligibility status at here

A: The maximum MIPS penalty is a 9% reduction in Medicare reimbursements, impacting revenue. Premier MIPS Consulting provides tailored support to avoid this, guiding performance selection, data submission, and quality strategies to maximize scores and minimize penalties. Partnering with us can help you to achieve the 75 points necesssary to avoid any penalties

Special statuses in MIPS can significantly impact scoring and reporting requirements: 1. Non-Patient Facing: Reduces the reporting burden by modifying the requirements for certain categories, such as Improvement Activities. 2. Hospital-Based: Exempts clinicians from the Promoting Interoperability category, reallocating its weight to other categories. 3. Small Practice: Provides bonus points and reduces reporting thresholds to accommodate limited resources. Automatic exclusion from Promoting Interoperability category 4. Health Professional Shortage Area (HPSA) and Rural Area: Offer additional flexibility and bonus points to address challenges in underserved or rural locations.You can see if you have any special statuses applied at https://qpp.cms.gov/eligibility-participation/eligibility/check For Extreme and Uncontrollable Circumstances (EUCs), approved applications can reweight or exempt specific MIPS categories, ensuring that providers are not penalized for circumstances beyond their control.

MIPS is divided into four categories: Quality, Cost, Improvement Activities, and Promoting Interoperability. Each category has its own scoring and reporting requirements. However, the cost Category requires no data submission and will be based solely on admistrative claims data. Groups with 15 or fewer providers may be able to exclude from the Promoting Interoperability category