Every Medicare Part B provider subject to MIPS faces payment adjustments of up to ±9% based on their performance score. RCMAXIS handles the data collection, measure selection, and CMS submission so you focus on patients — not paperwork. Zero missed deadlines since 2021.
Non-reporters face up to −9% on all Medicare Part B payments. High scorers receive up to +9% (plus exceptional performance bonuses). The difference between doing nothing and doing MIPS well can exceed 18 percentage points of your Medicare revenue — on every claim, for the entire year.
MIPS is scored across four performance categories, each with a specific weight in your composite score. RCMAXIS manages all four categories for your practice — identifying your strongest measures, tracking performance throughout the year, and submitting data before the March 31 deadline.
Report 6 quality measures from CMS's approved set. RCMAXIS identifies the highest-scoring measures for your specialty — selecting measures your practice can consistently perform well on based on your patient population and EHR capabilities.
EHR meaningful use metrics — patient portal adoption, secure messaging, CPOE usage, and clinical data exchange. RCMAXIS works with your EHR vendor to capture required data and maximize your PI score without disrupting clinical workflows.
Choose 2–4 approved improvement activities from CMS's activity inventory. RCMAXIS identifies activities your practice likely already performs — care coordination, expanded access, patient safety programs — and documents them correctly for maximum credit.
Calculated automatically by CMS based on claims data — no submission required. RCMAXIS monitors your cost category trajectory throughout the year, identifying high-cost patterns and flagging opportunities to improve your cost score before year-end finalization.
Determine if your practice is subject to MIPS or qualifies for exclusion (low-volume threshold, Advanced APM participation, new provider status). RCMAXIS reviews your Medicare billing volume and confirms your reporting requirements before the performance year begins.
Identify the 6 quality measures from CMS's approved set that will yield the highest composite score for your specialty. RCMAXIS analyzes your patient population, procedure mix, and EHR data availability to select the optimal measure combination — maximizing your score ceiling before data collection begins.
Work with your EHR and billing data throughout the performance year to capture measure numerator and denominator data. RCMAXIS monitors performance monthly, alerts your team when scores fall below target, and provides actionable guidance to improve performance before year-end lock-in.
Submit all MIPS data to CMS via RCMAXIS's qualified registry connection before the annual March 31 deadline. RCMAXIS confirms receipt, monitors for CMS acknowledgment, and retains full submission documentation for audit defense.
Track your composite score in real time throughout the performance year. RCMAXIS provides monthly score updates, flags underperforming measures, and recommends mid-year strategy adjustments to protect your positive payment adjustment before year-end data is locked.
File hardship exemptions for qualifying conditions — EHR transition, natural disaster, extreme circumstances. RCMAXIS identifies exemption eligibility, prepares documentation, and submits hardship applications to CMS before the annual deadline to protect your practice from penalties.
Confirm MIPS participation requirement, identify excluded providers, and determine the correct submission pathway (registry, EHR, claims, or QCDR).
Select quality measures, improvement activities, and PI objectives aligned to your specialty, EHR, and patient population to maximize composite score potential.
Monitor performance data monthly, alert on underperforming measures, and course-correct billing and documentation practices before year-end data is finalized.
Submit via RCMAXIS's qualified registry before March 31, confirm receipt with CMS, and retain full audit documentation for 6+ years.