5 Common MIPS Reporting Mistakes and How to Avoid Them

MIPS reporting can be complex, and even small mistakes can lead to lower scores or penalties. Understanding common pitfalls and how to avoid them can help you optimize your MIPS performance. Here are five frequent MIPS mistakes and practical strategies to ensure success in 2025.

1. Missing MIPS Deadlines

• The Mistake: Practices often underestimate how long it takes to collect, validate, and submit data. Waiting until the last minute can result in rushed submissions or errors.

• The Fix: Set internal deadlines at least two weeks before CMS’s March 31, 2026, submission deadline. Use calendar reminders and project management tools to stay organized.

  
  

2. Choosing the Wrong Reporting Mechanism

• The Mistake: Picking a reporting method (e.g., registry, eCQMs, Medicare Part B claims) that doesn’t align with your practice’s capabilities.

• The Fix: Evaluate your workflow, patient volume, and data infrastructure. For example:

  • Small practices might benefit from using Medicare Part B claims.

  • Larger practices or those with robust EHRs may perform better with eCQMs.

    
    

3. Failing Data Completeness Requirements

• The Mistake: Submitting data for fewer than 75% of eligible patients for a Quality measure, which can result in zero points for that measure.

• The Fix: Conduct periodic audits to ensure you’re meeting the data completeness threshold. Use your EHR’s reporting tools to monitor performance in real time.

  
  

4. Ignoring Promoting Interoperability (PI)

• The Mistake: Overlooking PI requirements or assuming your practice is exempt without applying for reweighting.

• The Fix:

  • Verify your CEHRT status and implement basic measures like e-Prescribing and Patient Portal usage.

  • Apply for a PI hardship exemption if you face significant technical challenges.

    
    

5. Lack of Audit-Ready Documentation

• The Mistake: Failing to maintain detailed records of your submissions, leaving you vulnerable during a CMS audit.

• The Fix:

  • Keep all supporting documentation for at least six years.

  • Create a standardized process for documenting Improvement Activities and Quality measure performance.

Bonus Tip: Partner with a MIPS Consultant A MIPS consultant can help you avoid these mistakes by providing expert guidance, auditing your submissions, and ensuring you meet CMS requirements.

Avoiding these common MIPS mistakes can make a significant difference in your performance and payment adjustments. By staying proactive and detail-oriented, you can navigate MIPS successfully and achieve your practice’s goals in 2025. Contact us today to see if we can help! 803-205-2544.