MyMipsScore™
MIPS reporting made simple for EHRs, healthcare organizations, and provider groups.
What is MyMipsScore?
MIPS rules change constantly. Deadlines are strict, benchmarks shift, and reporting omissions and errors can lead to penalties. MyMipsScore is built to help with all of it. Designed for EHRs and health organizations, it offers a complete, CMS-ready solution for managing MIPS at scale.
With built-in functionality like MIPS score calculator, measure selection assistance, and direct submission to CMS, you can pick the most suitable Quality, Promoting Interoperability (PI), Improvement Activity (IA) measures, track performance, and stay audit-ready.
MyMipsScore supports EHR measures (eCQMs), Registry Measures (MIPS CQMs), and MIPS Value Pathways (MVP) reporting with low-lift integration and full compliance.
MyMipsScore gives you control without complexity to support providers for MIPS.
Why Choose Us?
CMS MIPS Registry
A CMS Qualified Registry since 2018. Supports all measures across Quality, PI and IA categories with updates, calculations, and submission.
Audit Support
Complete support for audits, targeted reviews, and Extreme and Uncontrollable Circumstances (EUC) filings. Data submitted stays audit-ready for up to 6 years.
All-in-One
One app for eCQMs, MIPS CQMs, and Claims measure selection, scoring, and submission across Quality, PI, and IA with specialty-specific guidance.
Easy Integration
User-friendly app with built-in dashboards, FHIR API support, and streamlined uploads. EHR integration is available for customers who need automated workflows at scale.
Certified Modules
Plug-in modules for (c)(1-4) certification, Real World Plan and Test, and periodic attestations. Built for easy integration with commercial and homegrown EHRs.
MVP Ready
Supports all 21 MIPS Value Pathways (MVPs), all traditional MIPS measures, and custom reporting paths aligned with providers’ clinical focus.
White Glove Service for MIPS 2025
Small provider groups often lack the time and resources to manage complex MIPS reporting. Our White Glove Service offers hands-on support to provider practices for selecting measures, tracking progress, and confidently meeting CMS requirements for MIPS.
We utilize MyMipsScore’s built-in measure simulator and MIPS score calculator to help you identify the right measures, avoid penalty, and improve your overall MIPS score. You focus on caring for patients. We handle the reporting.
If you'd like to simplify MIPS reporting for your group, reach out.
What is MIPS Score and Why it Matters
Your MIPS score is a number between 0 and 100 based on your performance in four categories: Quality (30%), Promoting Interoperability (25%), Improvement Activities (15%), and Cost (30%). Each category contributes a weighted portion to your final score.
If you bill Medicare Part B, your MIPS score directly impacts how much you get paid. The score you earn in 2025 determines your Medicare payment adjustment in 2027. Score 75 or higher to avoid penalties. A low score (<75) could reduce your payments by up to 9 percent. High scores (>75) can earn you bonus payments.
MyMipsScore supports both traditional MIPS and MIPS Value Pathways (MVPs), giving you flexibility in reporting and optimizing your performance.
Your 10-Step MIPS Guide
MIPS 2025 is more demanding, not just for providers but also for EHR vendors and health organizations managing reporting at scale. The rules within each category have changed, measure requirements are stricter, and audit risks are higher. Certification needs, quarterly attestations, and PI requirements demand a system-level readiness. One misstep in measure selection, data used for measure calculation, or submission can mean lost points and thus penalties.
To help you get it right, we’ve created a practical 10-step guide that simplifies MIPS reporting, scoring, and submission for reporting using traditional MIPS and MIPS Value Pathways (MVPs).
Pick the reporting track - Traditional MIPS, MIPS APMs or MVP. Then decide how you'll report: Individual, Group, Facility-Based. Your choice impacts scoring rules, data requirements, and how you calculate, track, and submit measures.
Step 1:
Choose a Reporting
Track and Mode
Choose 6 Quality measures including 1 outcome measure. Utilize CMS specialty measure sets to simplify the process. You can use other measures from the available measure list if they fit your patient mix and satisfy CMS rules.
Step 2:
Select Quality Measures
for Reporting
Weighting for IA has changed and activities have been updated. Small and rural practices need to submit only 1 activity, while others need 2. Chosen activities must be reported for 90 consecutive days. Short-list and begin tracking early for best scores.
Step 3:
Improvement Activities
(IA) Considerations
IA makes up 15% of score.
Choose from 104 available activities, all equally weighted. For group reporting, at least 50% of clinicians must complete the same activity for 90 consecutive days. Make note of special scoring considerations applicable.
Step 4:
Improvement Activities
(IA) Scoring
Exceptions are applicable at the category level for certain clinician types, reweighting PI category to 0%.
Exclusions apply at the measure level. Certain measures are required to earn a PI score with no exclusion available.
Step 5:
Promoting Interoperability (PI) Exceptions and Exclusions
Clinicians must use an HTI-1 Certified EHR and report on all required measures across all objectives for 180 consecutive days to earn a PI score. Exclusions may be claimed where applicable. Points for excluded measures are reweighted to other measures.
Step 6:
Promoting Interoperability (PI) Scoring
The Cost category is 30% of the MIPS score.
No submission is required.
CMS will use Medicare claims data to automatically score across the applicable measures, based on patient volume and eligible cases.
Step 7:
Cost Category Measures and Scoring
Quality counts for 30% of your MIPS score (40% if PI hardship applies). Report 6 measures for full year; 1 must be Outcome or High Priority. You can mix collection types. No bonus for extra measures. Missing Outcome/High Priority = 0 points for Quality.
Step 8:
Quality Weight and Measure Selection
EHRs must support 75% data completeness and 20-case minimum per measure for scoring. Using current-year specs for eCQMs is mandatory. Missing these thresholds means zero points. Tools like MyMipsScore can help select high-scoring measures across collection types
Step 9A:
Quality Measure Data Requirements
Each measure can earn up to 10 points based on benchmarks. Some are capped at 7. Small practices get 6 bonus points. CMS also awards up to 10% for year-over-year improvement. Total points are weighted to calculate the Quality category score.
Step 9B:
Quality Score
Calculation
MIPS score is based on 4 categories: Quality, Cost, Improvement Activities, and Promoting Interoperability. If a category can't be scored, its weight is redistributed. At least 2 categories must be reported to receive a score.
Step 10A:
Final MIPS Score
Calculation
Your 2025 MIPS score affects your 2027 Medicare payments. Score of 18 or less means 9% penalty. Scores under 75 mean penalties, scores above 75 mean positive adjustments. The max payment change is ±9%.
Step 10B:
MIPS 2027
Payment Adjustment
MIPS 2025 Blogs
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Partner with us for (c)(1-4), (g)(10), (b)(11) and more
Darena Health has been a leading expert in healthcare IT regulation for nearly 15 years, helping EHR vendors, health IT developers, and healthcare organizations meet the 21st Century Cures Act, HTI-1, and the Quality Payment Program (MIPS) certification requirements.
Many of these requirements covering Information Blocking, FHIR APIs, and Promoting Interoperability (PI) MIPS category overlap in ways that create operational and technical complexity. We understand how these pieces fit together and can help you meet the criteria efficiently and accurately.
If you’re building toward compliance, we’re ready to support you.