MACRA & MIPS Consulting
MIPS reporting that protects your Medicare payments.
Your MIPS score moves your Medicare reimbursement up or down. Our consulting team runs the whole program for you, from eligibility checks and measure selection to training, follow-up and final data submission.
The problem
Pay-for-performance has real stakes
MACRA’s Quality Payment Program rewards care quality over volume through two tracks: MIPS and Advanced APMs. Clinicians are scored every year across four categories, and the result adjusts future Medicare Part B payments.
The four MIPS categories we manage
- Quality
- Cost
- Promoting Interoperability
- Improvement Activities
How BillerBay helps
What you get with BillerBay.
Eligibility check
We confirm whether you’re eligible or exempt, and whether to report as an individual or a group.
Measure selection
We choose the quality measures and improvement activities that fit your specialty and your data.
Built into your workflow
We weave reporting requirements into everyday documentation, so compliance isn’t a year-end scramble.
Audit-ready
We train providers and staff and keep the documentation you’ll need if CMS comes asking.
FAQ
MACRA & MIPS Consulting: common questions
Am I required to participate in MIPS?
Clinicians who exceed CMS’s low-volume threshold for Medicare Part B allowed charges, patients or services are generally required to participate. Qualifying APM participants and first-year Medicare enrollees are exempt. We’ll confirm your status for the current performance year.
What happens if I don’t report?
Eligible clinicians who don’t report receive the maximum negative payment adjustment on future Medicare Part B claims.
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