What makes PG different from a MIPS registry?

Registry vendors submit data. PG configures your EHR, selects measures, monitors performance, and submits.

athenaOne, eClinicalWorks, NextGen, MEDITECH, Epic, and Cerner/Oracle Health.

Ideally Q4 before the performance year. Mid-year is possible but limits options.

What is the max MIPS penalty?

Up to 9% of Medicare Part B reimbursement for the 2026 performance year.

MIPS Consulting Services for Eligible Clinicians

Confusion Around Eligibility & Requirements

Uncertainty about MIPS eligiblility, exemption status, and reporting pathways
Difficulty interpreting CMS updates and rule changes

Risk of Financial Penalties

Concern about negative payment adjustments due to non-compliance or poor performance
Lack of internal resources to monitor and meet performance thresholds

Data Capture & Reporting Challenges

Struggles with EHR integration and extracting accurate data
Incomplete or inconsistent documentation affecting measure performance

Limited Strategic Guidance

No clear plan for measure selection, reporting strategy, or performance improvement
Need for tailored recommendations based on specialty, TIN structure, or ACO participation

Time Constraints & Staff Bandwidth

Overwhelmed internal teams unable to keep up with MIPS deadlines and requirements
Desire to offload compliance tasks to a trusted partner

Lack of Visibility into Performance

No centralized dashboard or reporting tools to track progress, exemptions, or risks
Difficulty identifying and addressing historical gaps

THAT'S WHERE WE CAN HELP

What MIPS Consulting Actually Involves

MIPS (Merit-based Incentive Payment System) is the CMS program that adjusts Medicare payments based on clinician performance across four categories: Quality, Cost, Promoting Interoperability, and Improvement Activities. MIPS consulting helps eligible clinicians and practices maximize their composite performance score and avoid negative payment adjustments.

Most MIPS vendors stop at data submission: collect your data, run it through a registry, submit to CMS. That handles compliance but doesn't optimize performance. Real MIPS consulting starts upstream: which measures are best for your specialty, whether your EHR captures the required data points, whether documentation supports the selected measures, and whether your submission pathway gives you the best score.

PG's MIPS consulting covers the full cycle: eligibility verification, measure selection, EHR workflow configuration, performance monitoring, data validation, and CMS submission, with specialty-specific guidance throughout.

Example of a medical record for John Doe

Eligibility & Exemption Clarity

We identify MIPS-eligible providers and validate exemptions using CMS tools, ACO/APM lists, and EHR configurations.

Measure Setup & Data Collection

We configure your EHR to activate the right MIPS measures and ensure data is captured correctly through mapped workflows.

Real-Time Alerts & Prompts

We build in-system alerts that guide staff on what actions are needed to satisfy each measure during patient encounters.

Staff Training & Workflow Optimization

We train your team on how to document properly within the EHR to meet MIPS requirements and avoid common pitfalls.

Performance Monitoring & Reporting

We create dashboards and reports that track measure performance, exemptions, and submission readiness—giving you full visibility.

Trainers who are surrounded by EHR logos: Athena Health, Epic, ModMed, MEDITECH, NextGen Healthcare, and eClinicalWorks

Submission Confidence

We ensure your data is clean, complete, and ready for CMS submission, and we support Athena MIPS enrollment from start to finish.

How much does MIPS consulting cost? Is it worth it?

The cost of poor MIPS performance is often much higher. Penalties, missed incentives, and wasted staff time can exceed the investment in expert consulting. We configure your EHR correctly from the start, preventing costly mistakes and maximizing ROI.

When’s the best time to get MIPS help?

Waiting until the end of the year - or after a penalty notice - is usually too late. Ongoing support lets us build strategy, monitor performance, and course-correct early for better scores and smoother submissions.

If our staff already handles MIPS, why bring in outside help?

We complement your team by adding deep EHR expertise. From setting up alerts to optimizing workflows and training staff, we make your existing process more effective.

Do small practices really need MIPS support? Yes - small practices often qualify for exemptions or special statuses, but navigating those rules is complex. We help you take advantage of every option while avoiding penalties and missed incentives.

How is your support different from our EHR vendor’s? EHR vendors focus on the software itself - not MIPS success. Their support shows you how to use the system, while we show you how to win in MIPS.

FEATURED SUCCESS STORY

How we streamlined lease management tools and cut support tickets by 75%.

Healthcare Realty Trust, a publicly traded REIT specializing in outpatient medical facilities, partnered with Provisions Group to modernize their lease management processes. Using Microsoft Power Platform—including Power Apps, Power Automate, and Dataverse—we streamlined workflows, reduced support tickets by 75%, and improved cross-team collaboration across operations, leasing, and accounting.

Read Full Story

Why Provisions Group?

End-to-End Support, Strategically Executed

From eligibility analysis and exemption validation to staff training and workflow integration, we deliver full-spectrum support that ensures compliance today and readiness for tomorrow. Our team combines strategic insight with hands-on operational expertise, giving your practice not just a plan, but a fully implemented solution that fits your systems and staff capacity.

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MIPS Consulting for Eligible Clinicians and Practices.

Better MIPS scores start long before submission day.

Is Your Practice Facing These Challenges?