Can a Physician Billing Service Really Improve Your MIPS Score?

Dorian WilfredDorian Wilfred
3 min read

They say in America, "Time is money." For physicians, time spent figuring out billing and performance scores is time away from patients. This is the reason why your MIPS score really matters for your billing process.

But here's the real question: can a physician billing company help improve your MIPS score?

The answer is yes. To understand how efficiently professional billing services can help you, you should know what MIPS is and how it matters.

Learn what the MIPS score is and why it matters in your physician billing service:

MIPS is part of Medicare's Quality Payment Program. It gives bonuses or penalties based on how you perform in four areas—quality, cost, improvement activities, and promoting interoperability. Your MIPS score affects how much you get paid by Medicare. A high score means more money. A low score means less. Even small changes in how you document and bill can impact your score.

Let's be honest—MIPS is hard to follow. Many doctors find the rules confusing, and most don't have time to report everything the right way. The rules also change often, thus causing your practice to face mistakes like missing quality measures in notes, assigning wrong codes, overlooking improved activity reports, or not connecting your EHR with the billing process. Here is an example of

Your overall MIPS score can go down if you miss even one of these components.

Are you already overwhelmed with MIPS rules like many other physicians? You can simply depend on a physician billing company.

A physician billing company isn't just about submitting claims. The best ones are also experts in compliance and performance-based programs like MIPS.

Know how a physician billing company helps in increasing MIPS score:

1) Accurate coding and documentation:

The overall quality measure in your MIPS relies on coding accuracy. Professional billing experts always know the latest CPT, ICD-10, and HCPCS codes so that they can ensure that your documentation matches your codes. They also know what it takes to capture all the quality measures and avoid denials before they occur.

2) Measure tracking and reporting:

A professional physician billing company always leverages the smart mechanism to track your real-time MIPS score. These tools show what you're doing well, and where you need to improve and help you fix things before the reporting deadline.

3) EHR integration:

Most MIPS data come from your EHR. A billing company can connect your billing and EHR systems, so data moves automatically, meaning substantially less manual work and minimal mistakes. It also helps you do better in the Promoting Interoperability and Quality categories.

When you improve your MIPS score, you avoid penalties and gain more. You get higher Medicare payments, build trust with payers, track quality better, and lower your compliance risk. It helps your practice and your patients. It's a win-win.

Not all billing companies are the same. If you want MIPS help, look for these features:

Vital things to look for in a physician billing company:

Choose a physician billing company with over 15 years of experience in MIPS and QPP reporting. They should have certified coders, expert reviewers, and tools to track your MIPS score in real-time. Make sure they can handle at least 3 prior authorizations per hour, offer free transition support, and provide extra buffer resources when needed. They should also connect smoothly with your EHR system and give guidance to improve your scores—all at a very reasonable rate like $7 per hour. Ask them, "Can you show me how you've helped other practices improve their MIPS scores?"

So, don't waste a single moment. Hire a perfect physician billing solution to improve your MIPS score and ensure an excellent RCM process.

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Written by

Dorian Wilfred
Dorian Wilfred

Dorian Wilfred is a dedicated healthcare consultant, who has spent over twenty years helping healthcare facilities run smoothly. His main focus is on enhancing patient care and making healthcare operations more efficient. His latest article gives insights into how medical virtual assistants can ease the pain of tedious administrative tasks and to improve quality care, reflecting his thorough research and knowledge of effective practice management. Holding a Master's degree in Healthcare Administration, Dorian is committed to making healthcare delivery systems more effective and efficient.