Take the guesswork out of MIPS with CareCloud

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CareCloud is fiercely committed to relieving the burden associated with adapting to the constant changes of the new medical economy. Our comprehensive financial and clinical software, intuitive MIPS dashboard, and our team of experts have removed the guesswork associated with MIPS. Seamlessly transition to MIPS and unlock the potential of your practice to succeed in the new medical economy with the help of CareCloud.

Our commitment has been recognized by leading organizations, including Blackbook’s industry-standard ratings, where CareCloud was ranked the #1 EHR vendor when it comes to MIPS support.

What is MIPS?

The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) replaces the Sustainable Rate Growth (SRG) formula for Medicare payments to providers. The program shifts the way Medicare fees will be paid in 2019, from a service-based model to a performance-based model which incentivizes the end-value brought to the patient.

MACRA’s value-based reimbursement system is called the Quality Payment Program (QPP), with two paths for participation: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)

Who is affected by MIPS

If you bill more than $30,000 and care for more than 100 Medicare patients per year, you are subject to MIPS reporting beginning on January 1, 2017.

MIPS eligible clinicians (physicians, physician assistants, nurse practitioners, clinical nurse specialists and certified registered nurse anesthetists) will be required to participate in one of two QPP tracks in order to avoid negative payment adjustments up to -4% in 2019, increasingly yearly to -9% per practitioner by 2022.

The Centers for Medicare and Medicaid Services (CMS) expects over 600,000 providers to be affected by MIPS in 2017.

Understanding the MIPS Composite Score

Under MIPS, practitioners are assigned a composite performance score calculated using weighted performance areas:

Quality (60%)
Advancing Care Information (25%)
Improvement Activities (15%)
Cost (tracked in 2017, but not weighted until 2018)
The composite performance score will determine the adjustment that will be made to the Medicare Part B base rate beginning in 2019.

Strong performers are eligible for significant incentive payments – up to 4% in 2019 – while those not submitting data in 2017 will receive a minus 4% payment adjustment. That percentage increases over time, maxing out at plus or minus 9% in 2022 and beyond.

Looking into each of the four categories under MIPS, measuring performance can seem intimidating. Under Quality, providers can choose from a list of 200 measures which they want to report, based on unique speciality and patient mix. Thankfully technologies such as our own can be leveraged to automate and manage many of these metrics.

Position Your Medical Group for Success in the Medical Economy: Why MIPS Matter

MIPS is a reflection of one cornerstone of the new medical economy, namely the shift from volume to value. We see MIPS as an opportunity for our clients to be rewarded for delivering outstanding care in their communities with the help of the adaptive, cloud-based health technology at CareCloud. Specialized medical groups rely on the EHR and patient engagement solutions at CareCloud to streamline workflow and improve patient care, leading them on the path to demonstrable improvements in MIPS performance metrics.


The CareCloud MIPS Success Package is our commitment to offer our clients the tools, support, and advice needed to help them excel under MIPS. In fact, it is our aim not just to avoid penalties, but to position our clients for bonus incentive payments, if they wish.

The Success package is an industry-leading combination of software tools and personalized services:

Our intuitive, agile cloud-based architecture allows us to continually adapt and innovate to the shifting demands and opportunities in healthcare IT. The latest CareCloud Charts EHR, available to all our current clients, positions you to seamlessly meet MIPS requirements and avoid penalties. And our intuitive, built-in MIPS dashboard makes compliance and reporting easier than ever.

All CareCloud Charts EHR clients get a dedicated account manager that is an expert resource on the law, as well as the development of a customized MIPS Action Plan to make sure you not only avoid penalties, but aim for bonuses.

This entire package of software and services is free to all our CareCloud Charts EHR clients.

Unlock Performance Bonuses

CareCloud’s MIPS-related processes, tools and support underscore our proven track record in keeping organizations in compliance with regulatory changes. With MIPS, we’ve set the bar high. We don’t want you to just transition to MIPS to avoid penalties, we want you to capture incentive payments.

The CareCloud Charts EHR embeds program requirements into your clinical workflow to provide MIPS attestation without additional labor. We offer unmatched visibility into performance data to enable you to make adjustments to satisfy MIPS quality measures.

CareCloud Client Success managers are masters in developing strategies that produce results.

The bottom line? CareCloud delivers the winning combination to unlock MIPS success.

Accomplish more with CareCloud MIPS solutions and the CareCloud MIPS Guarantee. Contact us to learn how to get started.