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Thank you for choosing Mingle Health. This guide will help you understand what to focus on to maximize your MIPS participation. We also have videos and educational opportunities throughout the year to educate you about specific components of the MIPS and QPP.
In 2024, you need to earn 75 points to avoid the 9% negative adjustment completely.
While not all clinicians and groups will meet the minimum threshold, starting early and earning as many points as possible will help mitigate the potential for a negative adjustment and maximize your success.
While MIPS is indeed getting harder every year, Mingle Health is here to guide you to success.
Meet with your Mingle Consultant to learn all that you need to know, set goals, and create a project plan to participate in all categories of MIPS. Be sure to share important deadlines and milestones with stakeholders in your organization such as clinicians, billing team, and anyone else who assists with quality management efforts.
Mingle Health is dedicated to helping you succeed with MIPS and we are proud to have been recognized as a top performer by KLAS for Quality Management.
Our explainer video below is a great place to start if you’re new to MIPS. In the video, you’ll learn the basics of MIPS and gain a foundational understanding of each MIPS Performance Category.
The links below will redirect you to helpful MIPS resources and information from the Quality Payment Program website. We suggest saving or bookmarking these resources and reviewing them often to ensure your MIPS project is on track with QPP guidelines.
2024 MIPS Quick Start Guide for Small Practices
What’s New in 2024 for Small Practices
2024 Quality Quick Start Guide
Take a moment to think about your past performance, systems, and recent submission. Having a realistic goal for your organization’s participation in MIPS and the QPP will help your Mingle Consultant guide you in the program and provide feedback to you. Here are some common goals:
When you work with Mingle Health, you gain access to unmatched MIPS expertise in your assigned Consultant. Your Consultant can provide a framework for your MIPS project, offer recommendations, and answer any specific questions you may have.
Your Consultant will review your MIPS project progress at regular intervals to facilitate the work you’re doing in the Mingle Health Dashboard and assist when necessary.
To ensure your MIPS project progresses through the year, you’ll need to upload your data to the Mingle Health Dashboard in a regular cadence. You’ll need to set up a MIPS workflow in your organization to make sure you’re not falling behind throughout the year.
You and your team will serve as the champions for your practice improvement. Due to the remote nature of our work, your team should be familiar with attending online meetings and be able to use e-mail, Excel, and our web-based software.
Your team will need to coordinate with internal system vendors such as EHRs and billing systems. Team members will ensure that all necessary files will be provided according to Mingle specifications (see resources below).
Your team will be essential in helping to spark engagement and excitement for your entire clinical and operational staff.
Our goal is to be a partner of your practice, helping to navigate challenges and maintain steady progress along the way.
You’ll have access to your Consultant via email, through our website’s chat functionality, or you can give us a call. You can request a meeting with your Consultant when you have specific questions about your MIPS project or if you run into challenges that require your Consultant’s expertise.
Our goal is to support your organization in earning the highest MIPS score possible and maximize the ROI for participation. When you work with Mingle, not only do we help you avoid the 9% penalty, we pair you with a knowledgeable and friendly Mingle Health “coach” to guide you every step of the way through the program.
Completing the actions by the dates listed below gives you the best chance of driving your practice quality toward your goals and gives the greatest visibility for monitoring your MIPS score.
| Date | Action/Milestone |
| April 15, 2024 | Send Q1 Billing Data
Adjust clinicians to be included in quality measure calculations (purchase additional providers, if applicable) |
| May 1, 2024 | Select Measures |
| May 15, 2024 | Send Q1 Numerator Data
Adjust clinicians to be included in quality measure calculations (purchase additional providers, if applicable) |
| May 30, 2024 | Review Initial PI Performance
Select Initial IA Projects |
| June 15, 2024 | Review Initial Quality Measure Performance |
| July 15, 2024 | Send Q2 Billing Data
Adjust clinicians to be included in quality measure calculations (purchase additional providers, if applicable) |
| August 15, 2024 | Send Q2 Numerator Data
Review Quality Measure Performance |
| October 15, 2024 | Send Q3 Billing Data |
| November 15, 2024 | Send Q3 Numerator Data
Review Quality Measure Performance (after numerator data is processed) |
| January 15, 2025 | Send All End-of-Year Data
Enter PI and IA Final Attestations Finalize clinicians to be included in CMS submission (purchase additional providers, if applicable) Complete Permission Forms |
| January 30, 2025 | Review Final Performance Scoring |
| February 9, 2025 | Send Validation and Audit Documentation (if selected for audit, as required by CMS) |
| January 4, 2025 – March 31, 2025 | Submit Data to CMS |
| Q1 2025 | Plan QPP Participation for next Performance Year |
If you have begun working with us after some of these dates have passed, we will assess together how to best mitigate the risks to your MIPS reporting.
Upload your billing and performance data as soon as possible so you know your data process is working and you understand your current scores. Plan to send data and review your scores at least quarterly.
Take a moment to plan out how you will send data on a regular basis to Mingle Health for analysis. You’ll also want to think about how you share your measure performance with your team.
Here are additional resources to assist you with MIPS and the QPP:
New to MIPS? Have questions?
We’re here to help. Please reach out to your Consultant or use the live chat to ask your questions. You can also call M-F 9am – 5pm ET: 866-359-4458
Analyzing your past performance is one of the best ways to understand how you are scoring under MIPS.
Take a moment to pull together prior reports and data to understand what worked well and areas for improvement including data capture, workflows, and EHR vendor requirements.
Make sure to download your most recent CMS Feedback Report which includes a breakdown of your past MIPS scores, including the MIPS Cost category. CMS typically publishes Feedback Reports for the prior performance year in July.
Questions to ask:
Make sure to share your questions, responses, and prior year performance reports with your Mingle Consultant.
You’ll need a CMS HARP account to access the QPP Portal. This is where you’ll view and download your prior year CMS Feedback Report and more.
There are no changes to previously eligible clinicians: physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, certified nurse midwives, and social workers. Clinical psychologists and therapists were added in 2019.
You can find more information on how MIPS eligibility is determined on the QPP website >>
For clinicians that fall under the low volume threshold and still want to participate, they can opt in to the MIPS reporting and receive incentive payments based on success within the program.
Clinicians are exempt for any of the following reasons:
CMS updates eligibility and special statuses at two points in the year called the “MIPS determination Periods:”