Specialty-Specific Value-Based Care

Driving Medicare Quality Payment Program Success With Solutions for MIPS CMS Reporting Under MACRA

How did EMA users do on 2017 MIPS?*


average MIPS score out of 100


of submissions scored 70+

70 pts = exceptional performer bonus

*Scores are estimated based on the MIPS scoring criteria published by the Centers for Medicare and Medicaid Services (CMS).

Why MIPS Performance Matters

Under the Merit-Based Incentive Payment System (MIPS), the size of your Medicare reimbursements may depend on your ability to show high quality and low cost compared to your peers. You need a proven performer to help you achieve success, and Modernizing Medicine® has your back.

With our distinguished track record in MIPS submissions, Meaningful Use attestations and PQRS reporting, we are a recognized leader in value-based care solutions for specialty practices. And now that 2017 MIPS is over, we’re proud to announce that our EMA® providers achieved outstanding preliminary results.

A Complete MIPS Solution, Built In

At Modernizing Medicine, we have embraced the arrival of value-based care. As other practices and clinics struggle to meet the requirements, you can succeed with our help. Built right into our 2015 Edition ONC HIT Certified EMR system, EMA, our MIPS solution can gather, track, benchmark and submit your MIPS reporting data:

  • Collect MIPS data in the flow of the exam, without adding lots of time or clicks
  • Track your estimated MIPS Composite Score and progress on each measure and category
  • Benchmark your performance against peers on a daily basis
  • Take advantage of our automated Specialized Registries
  • Submit your Quality, PI and IA data to CMS through our MIPS CQM

Based on client experiences, estimates show that submitting through our MIPS Registry typically takes about

1-5 minutes

Why Choose Modernizing Medicine?

Value-based care isn’t going away, and we know firsthand how time-consuming it can be when trying to keep track of all the factors involved in MIPS reporting. That’s why we work hard to stay abreast of the changes. We can provide you with the solutions you need to achieve MIPS success:

  • Industry leadership in specialty-specific EMR content and usability
  • Built-in MIPS Composite Score reporting and data submission
  • Robust analytics and benchmarking tools tracking your performance in real time
  • Patient engagement tools, including patient kiosk, patient portal, patient reminders and patient surveys.
  • Concierge coaching with our advisory services
  • Web and mobile solutions

Make data-driven decisions to improve health and cost-effectiveness while succeeding under MACRA. Our powerful EMA EMR solutions dig deep into population trends, care utilization and quality measures, helping you stay competitive. By utilizing structured health-system-generated and patient-generated data, Modernizing Medicine helps improve accuracy, streamline workflows and give you valuable insights that can drive your success.

MIPS and MACRA Explained

When the Medicare Access and CHIP Reauthorization Act (MACRA) became law in 2015, it immediately shifted the thought process behind Medicare payments. Now, CMS pays most physicians on a curve, rewarding those who provide high-quality care and penalizing those who fall behind on reporting.

Similar to how previous programs like Meaningful Use (MU) and PQRS worked, the Merit-based Incentive Payment System (MIPS) is based on the reporting of a variety of performance measures. But now, physicians are measured on how they compare to peer clinicians. With MIPS, if you score higher than your peers, you could receive a positive Medicare payment adjustment. Fail to report for MIPS, however, and you could receive a negative payment adjustment.

MIPS Puts Your Bottom Line On the Line

MIPS Maximum Adjustments 2019-2022
Adjustments started in 2019 based on 2017 performance, and by 2022, they are expected to increase to up to 9%.

This means that if you bill $1,000,000 per year in Medicare, your MIPS performance can make up to a $180,000 difference in your income starting in 2024. That adds up fast.

As a proven leader in value-based medicine for specialty practices, Modernizing Medicine can provide you with tools for MIPS and MACRA success.

What Makes Up MACRA?

MACRA established the Quality Payment Program (QPP), which consolidates the existing quality reporting programs and adds a new component to create MIPS. MIPS factors in four weighted performance categories:

  • Quality (replaces PQRS)
  • Cost (replaces the Value-Based Modifier)
  • Promoting Interoperability (replaces Meaningful Use; formerly called Advancing Care Information)
  • Improvement Activities (a new component)
2017 EMA MIPS scorecard

With MACRA and MIPS in full effect, data is key. Having an advanced EHR system like Modernizing Medicine’s EMA to automate your MIPS data collection and provide robust analytics may be crucial to the prosperity of your practice under value-based care.

We encourage you to visit CMS’ Quality Payment Program site to learn more about MIPS and MACRA.

Frequently Asked Questions

Can I see my overall MIPS score before submitting my data to CMS?

EMA calculates your estimated MIPS Composite Score nightly, providing you with visibility into your MIPS performance, both overall and in each individual category. For information on gGastro® EHR, please visit our gastroenterology value-based care page.

Where can I find more information on MACRA, MIPS and CQMs (formerly PQRS and Meaningful Use) in EMA?

Visit modmed Central to access user guides, video tutorials, webinars, news updates, FAQs and other resources related to value-based medicine in EMA.

Does Modernizing Medicine offer additional MIPS coaching resources?

Yes, we have an optional concierge-style coaching program called MIPS Advising that is available for an additional fee.

What is Modernizing Medicine’s EHR certification number?

For detailed information on our EHR certification, check out our ONC Health IT Disclosure page.

How can I submit MIPS data to CMS?

You can report MIPS from our EMA EMR system using the Modernizing Medicine, Inc. MIPS CQM. This allows you to easily transmit your Quality, Promoting Interoperability and IA measures to CMS, eliminating the need to attest directly on the CMS website. In fact, MIPS submission through our MIPS CQM typically takes providers less than five minutes. Detailed MIPS submission instructions can be found in this post on modmed Central.

You also have the option to submit through certain third-party registries, such as IRIS® and DataDerm™. Visit our Registries page for more information.

Discover how our EMR solutions can help your practice succeed in MIPS

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