Merit Based Incentive Payment System

By partnering with TriumpHealth for MIPS services, healthcare organizations can improve their overall quality of care and potentially earn incentives from Medicare.

Merit Based Incentive Payment System (MIPS)

Below is a summary of MIPS requirements and services provided by TriumpHealth to achieve MIPS compliance goals:

Quality Measure Consulting

MIPS stands for Merit-based Incentive Payment System, a compliance program developed by the Centers for Medicare & Medicaid Services (CMS). The MIPS program incentivizes and rewards eligible clinicians who provide high-quality, cost-effective care to their patients.

  • Review of previous reported data (from QPP)
  • Review prevalent clinical instances and workflow documentation
  • Evaluate and analyze billing and coding data for your organization
  • Assessment of appropriate and cost-effective method of reporting (inclusive of all reporting mechanisms)
  • Recommend applicable benchmark and outcome measures for highest quality reporting
  • Training for office, clinical and IT staff
  • Regular analysis of Quality measures scores by individual NPI and TIN

Promoting Interoperability Consulting

In 2023 Promoting Interoperability will account for 30% of the composite MIPS score. We work with your staff to make sure you are staying up to date with the relevant changes and meeting requirements, as below:

  • Review existing clinical workflow and documentation
  • Set-up Promoting Interoperability (PI) reports
  • Remove measures no longer required for reporting from clinical workflow
  • Train clinical staff on workflow and documentation for individual base, performance and bonus measures
  • Proactively prepare for PI audit during the reporting year
  • Assistance in preparation for attestation
  • Consultant guided attestation
  • PI audit response preparation support

Improvement Activities Consulting

For this category, CMS has included over 100 activities which a practice can engage to earn up to 15% of the MIPS Composite Score. Most activities are aimed at improving patient care, access, engagement and coordination of care organizations. For smaller practices, this measure category is easier to meet unlike larger organizations,who are held to a higher standard. We help you with:

  • Selection of Clinical Practice Improvement activities
  • Documentation for audit preparation and support
  • Proactively prepare for PI audit during the reporting year


CMS will calculate cost measures based on attributable instances during the 2023 performance period. We help you:

  • Selection of Clinical Practice Improvement activities
  • Documentation for audit preparation and support
  • Evaluate your clinical workflow and suggest ways to reduce patient attribution or reduce cost of care.

Our Process


Assessment and Eligibility Determination

Conduct a comprehensive assessment of the medical practice’s eligibility for the Merit-Based Incentive Payment System (MIPS), considering factors such as practice size, specialty, and patient population.


Performance Analysis

Evaluate the practice’s current performance in relevant MIPS categories (Quality, Promoting Interoperability, Improvement Activities, and Cost), identifying areas for improvement and optimization to maximize MIPS scores and potential incentives.


Implementation of MIPS Strategies

Develop and implement customized strategies tailored to the practice’s specific needs and goals, including workflow optimization, EHR optimization, quality measure selection, and performance tracking mechanisms.


Reporting and Compliance

Ensure accurate and timely reporting of MIPS data to relevant reporting mechanisms (e.g., Quality Payment Program website), providing ongoing support and guidance to ensure compliance with MIPS requirements and maximize performance outcomes.

Benefits of Working with TriumpHealth


Risk Reduction

Minimize the risk of reduced reimbursements by adhering to MIPS regulations through our expert advice.

Revenue Maximization

With a higher MIPS score, unlock the potential for increased Medicare reimbursement and bonus opportunities.

Improved Patient Outcomes

We utilize MIPS data to help you improve clinical practices, resulting in better patient care.

Seamless Compliance

Ease the burden of regulatory compliance with our end-to-end MIPS support.

Maximize Your Revenue. Schedule a Consultation Today!

We will help you achieve financial and regulatory compliance goals resulting in improved patient outcomes and increased revenue.