Quality Submission Made Simple
Lock in incentives, reduce penalties, and stay compliant with a partner that does it for you.
Why Quality Submission Matters
If you participate in Medicare or other value-based care programs, quality submission isn’t optional; it’s required. Programs like MIPS and MSSP evaluate your clinical performance and determine future payment adjustments.
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Every year, clinicians lose revenue or face compliance risk simply because they don’t submit on time, submit the wrong measures, or don’t have a complete data picture. Understanding what needs to be submitted and how to submit it correctly is the key to protecting your reimbursements and reputation.
What You Need to Know About MIPS
MIPS evaluates providers across four categories: Quality, Promoting Interoperability, Improvement Activities, and Cost. Each area contributes to a Composite Performance Score that drives your Medicare payment adjustment. The Quality category alone accounts for 30% of your total score, with requirements to report up to six clinical measures. Promoting Interoperability focuses on how well you use certified EHR technology. Improvement Activities assess your practice-level enhancements to care delivery. Cost is calculated automatically by CMS from your Medicare claims.
A strong performance can earn you incentive payments. A poor or missing submission can trigger a penalty of up to 9%.
Beyond MIPS: MSSP and Other Programs
If you're part of an Accountable Care Organization (ACO) or the Medicare Shared Savings Program (MSSP), your reporting responsibilities go even further. These programs include broader population health metrics and shared savings models that depend heavily on quality reporting. Submitting incomplete, incorrect, or late data can affect your financial return and your standing within the network. Even outside of Medicare, commercial value-based care contracts are increasingly tying payments to reporting accuracy.
Don't Ignore MVPs
MIPS Value Pathways (MVPs) are CMS’s new approach to streamline reporting by specialty or clinical condition. Though optional now, MVPs are expected to become mandatory in the future. Practices that prepare now will be better positioned to transition smoothly, avoid future disruptions, and possibly reduce their reporting burden.
Common Reporting Issues
Many providers struggle with understanding which measures apply to their specialty, aggregating data from multiple systems, staying current with evolving CMS rules, and meeting submission deadlines. These hurdles are especially burdensome for small to mid-sized practices without dedicated internal resources.
How ReportingMD Can Help
ReportingMD helps you take control of your quality submissions. We work with your team to identify the right measures for your contracts and specialties, normalize and validate your data, and ensure that your final submission is accurate, complete, and aligned with CMS and payer requirements.
Our platform tracks your performance throughout the year so you’re never caught off guard. With decades of experience and a trusted process, we help you avoid last-minute scrambles and maximize your reporting outcomes.
FAQ
Do I have to report for MIPS? How do I know if I’m eligible?
If you're a Medicare Part B clinician, you’re likely required to report under MIPS if you meet the volume and billing thresholds. CMS updates these eligibility criteria annually, so even if you were exempt in past years, that may have changed. ReportingMD helps verify your eligibility and ensures no required provider is overlooked.
What happens if we miss the submission deadline or report incorrectly?
Missing the submission deadline can trigger automatic penalties up to a 9% reduction in your Medicare payments. Even if you do submit, incomplete or inaccurate data may lead to poor scoring, which affects public ratings and revenue. We help identify risks early and submit clean, compliant files.
We have multiple providers across specialties. Can we still report as a group?
Yes. Group reporting is common and often beneficial, especially if you're trying to centralize data and maximize scoring through aggregation. However, group reporting comes with its own set of requirements. We'll walk you through whether it's the right choice for your organization and how to structure your submission.
How are MIPS and MSSP reporting different? Can one submission cover both?
MIPS and MSSP have overlapping quality measures, but they are distinct programs with different scoring methodologies and submission mechanisms. In some cases, CMS allows submission alignment; in others, you may need separate strategies. ReportingMD clarifies these distinctions and avoids duplication or data gaps.
We’re using more than one EHR. Is that a problem?
Not for us. Many practices operate across multiple systems, which can complicate reporting, but we specialize in aggregating, normalizing, and validating data from fragmented sources. You’ll get a unified, submission-ready dataset that reflects your true performance.
What kind of support do we get from ReportingMD?
We offer hands-on onboarding, measure selection strategy, data extraction guidance, error resolution, and real-time performance monitoring. Our team is available throughout the year, not just during submission season, to ensure you’re always on track.
