What Is MIPS Consulting, and How Is It Different from MIPS Reporting?
MIPS consulting is an ongoing strategy and advisory support throughout the performance year. MIPS reporting is the act of submitting data to CMS by March 31. Most practices treat the two as the same service. They are not. Submitting data is one action that takes days.
Building a strategy that earns above-threshold scores across all categories is a separate, year-long engagement. The 9% negative adjustment on Medicare Part B is not a filing problem. It is a performance problem that starts forming in January when no one is watching the data.
What Does Macralytics's MIPS Consulting Service Include?
The consulting engagement covers five defined phases across the full calendar year. Each phase has a specific deliverable, so your practice always knows what has been completed and what is coming next.
Pre-Year Strategy and Measure Selection
Macralytics selects the six highest-scoring quality measures for your practice against current national benchmarks before the January 1 performance year opens.
Year-Round Performance Monitoring
Monthly data completeness reviews track all MIPS categories against the 75% threshold, so gaps are corrected before submission.
Submission and Attestation Support
All applicable MIPS categories are submitted through CMS-approved channels before March 31, including SRA documentation and Promoting Interoperability attestation.
Score Review and Targeted Review Filing
After CMS publishes final scores, Macralytics audits results for errors and files a targeted review request within the 60-day CMS window, where applicable.
Next-Year Planning and Score Improvement
Year-over-year score analysis identifies which measures to replace and whether a pathway change to MVP or APP makes sense next cycle.
Ready to Protect Your Medicare Part B Revenue This Performance Year?
A 9% negative payment adjustment on a $600,000 Part B billing volume equals $54,000 in direct revenue loss applied two years after the missed or below-threshold submission. Macralytics assigns an AAPC-certified consultant, submits before March 31, and audits the final CMS score. Every service track is available as a standalone engagement or as part of the full-year consulting package.
Start With a Free Eligibility ReviewHow Does Our MIPS Consulting Process Work?
The engagement runs on a fixed annual calendar. Five phases cover the full performance year, so score-critical work happens when it matters, not when the deadline forces it.
Pre-Year Setup
Eligibility confirmed, reporting pathway assigned, quality measures selected, and MVP registration completed at the start of year when benchmarking data becomes available from CMS.
What Other MIPS Services Does Macralytics Offer?
MIPS consulting is one part of Macralytics' full MIPS service offering. Depending on your practice's needs, you may require standalone data submission support, dedicated measure selection consulting, or a full eligibility verification before the performance year begins.
MIPS Reporting Service
The MIPS Reporting Service covers complete, end-to-end data collection and CMS submission across all performance categories. This service is built for practices that need a managed reporting partner rather than advisory support. Macralytics handles every step from data collection to final submission without requiring your internal team to manage the process.
MIPS Data Submission Service
The Data Submission Service is a focused service for practices that have already collected their performance data and need a compliant, validated submission filed to CMS before the March 31 deadline. Macralytics runs a pre-filing validation check across all applicable categories and submits through CMS-approved reporting channels on your behalf.
MIPS Eligibility Check and Verification
The Eligibility Check Service confirms your NPI-level QPP participation status using the CMS QPP Participation Status Tool once the performance year begins. This step identifies whether you are required to report, eligible to opt in, or excluded from MIPS due to the low-volume threshold or APM Qualifying Participant status. Getting this wrong is one of the most common and costly reporting mistakes.
Who Needs a MIPS Consulting Service?
Any practice with Medicare Part B exposure above the low-volume threshold carries financial risk every performance year. The size of the practice does not change the penalty math.
Practices That Scored Below 75 Points Last Year
A negative payment adjustment is already locked in for the next payment year. Consulting in the current performance year is the only path to earning a higher score before the next adjustment cycle applies.
Practices Reporting MIPS for the First Time
First-year reporters have no historical benchmark data to guide measure selection. Starting without a strategy typically produces a below-threshold score that takes two full cycles to recover from.
Solo And Small Practices
These practices carry the full 9% penalty risk with the least internal capacity to manage a year-round reporting process. The return on consulting is highest for practices that cannot dedicate staff to CMS compliance year-round.
Multispecialty Groups Navigating The 2026 MVP Rule
Group-level MVP registration is no longer permitted from 2026 onward. Subgroup reporting setup requires an early strategy that most internal teams do not have the bandwidth to handle during a busy clinical year.
Is Your Practice on Track for the March 31, 2027 CMS Submission Deadline?
Missing the March 31 deadline produces a zero MIPS score and the full 9% negative adjustment with no recourse and no extension. For a practice billing $500,000 in Medicare Part B annually, that is $45,000 in direct revenue loss applied in 2028.
Practices that engage Macralytics before June 30 of the performance year still have sufficient time to close mid-year data gaps across all categories and reach the 75-point CMS threshold before the December 31 year-end close.
Secure My 2026 MIPS SubmissionWhy Does the USA Practice Choose Macralytics for MIPS Consulting?
Macralytics is a specialized MIPS consulting firm, not a general healthcare IT vendor with a compliance module. Every engagement is led by AAPC-certified consultants assigned to your practice from the first eligibility check through the final score audit.
AAPC-Certified Consultants
Every engagement is led by AAPC-trained professionals with deep knowledge of CMS measure requirements, scoring logic, and submission rules across all MIPS performance categories and all 27 active MVP pathways.
Year-Round Engagement, Not Deadline Response
Data monitoring starts January 1 with monthly completeness reviews. Most score losses are locked in the middle of the year when no one is watching the data, and Macralytics is built around preventing exactly that.
Targeted Review Expertise
Macralytics reviews every final CMS score for calculation errors and files targeted review requests within the annual window. This is a step most consulting firms do not offer as a standard part of the engagement.
Specialty-Specific Measure Strategy
Quality measure selection is built around your specialty's clinical workflows and current national benchmarks. A generic measure list pulled from the CMS inventory is one of the most common causes of below-threshold scores in specialty practices.
MVP Transition Ready
Macralytics manages MVP registration, specialty pathway assignment, and subgroup reporting setup for the 2026 rule changes. Practices that delay MVP planning risk being locked into the wrong pathway when the registration window closes on November 30.
HIPAA-Compliant Data Handling
All data collection, monitoring, and CMS submission follow HIPAA compliance protocols. Patient records and practice performance data are handled under strict data agreements at every stage of the engagement.