Strategies for maximizing MIPS scores

Strategies for maximizing MIPS scores

Strategies for Maximizing MIPS Scores

Maximizing your MIPS (Merit-Based Incentive Payment System) score doesn’t require overhauling your entire workflow—but it does require planning, coordination, and smart use of available tools. Whether you're aiming to avoid penalties or earn positive payment adjustments, a focused strategy can make a significant difference.

This article outlines practical steps billing and administrative teams can take to help boost performance across each MIPS category.


1. Start with a Strong Measure Selection

The quality measures you choose directly influence your final score. Select ones that:

  • Align with your provider’s specialty

  • Fit your existing workflow

  • Have high benchmarks or strong scoring potential

Avoid selecting measures that are difficult to document or don’t apply to your patient population. Relevance and feasibility are key.


2. Focus on High-Impact Categories

Each MIPS category carries a different weight. Quality and Promoting Interoperability typically make up the largest portion of your score.

Prioritize these areas:

  • Quality: Monitor performance regularly and close care gaps before the end of the reporting year.

  • Promoting Interoperability: Ensure your EHR is certified and that you meet all base and performance requirements.

Stay current with annual CMS updates, as category weights can shift from year to year.


3. Monitor Performance Throughout the Year

Waiting until the end of the year to review your progress puts your score at risk. Instead, run quarterly performance reports to catch any issues early.

Look for:

  • Measures with missing data

  • Patients who didn’t meet measure criteria

  • Unexpected drops in performance

Early adjustments can help you stay on track and improve outcomes.


4. Ensure Data Completeness

Incomplete submissions can drastically reduce your score. Make sure you’re meeting the data completeness thresholds for each category.

For most Quality measures, this means reporting on at least 70% of eligible patients (based on current CMS rules). Use your EHR or registry tools to track this in real time.


5. Optimize Documentation and Coding

Accurate documentation and correct coding are essential for MIPS success. Even small errors can prevent a measure from counting.

  • Train clinical staff on the documentation requirements for selected measures

  • Review coding regularly to ensure alignment with MIPS specifications

  • Perform internal audits to catch inconsistencies or omissions


6. Maximize Points in Improvement Activities

Improvement Activities offer an opportunity to earn easy points—especially for small practices, which often receive full credit for just one or two completed activities.

Select activities that:

  • Align with current initiatives

  • Are already being performed

  • Can be well-documented and verified

Be sure to track start and end dates, staff involvement, and the activity’s impact.


7. Use Tools and Technology to Your Advantage

Leverage your EHR system and any certified registry tools to:

  • Automate data collection

  • Track performance in real time

  • Simplify submission and reduce errors

These tools can save time and ensure consistency across your MIPS reporting.


Conclusion:

Maximizing your MIPS score isn’t about doing more—it’s about doing the right things at the right time. By selecting appropriate measures, maintaining clean data, and monitoring your progress throughout the year, you can build a strategy that strengthens performance and protects your revenue.

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