A Low MIPS Score Can Cost You Up to 9% in Medicare Reimbursements

OmniMD’s EHR aligns your documentation, interoperability, and workflows with performance-based care, so your score reflects the quality you actually deliver.

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Max Medicarepayment bonus

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MIPS performance categories

CEHRT – certified platform

MACRA vs MIPS — Quick Breakdown

Two terms, one framework. Here’s what each means for your practice.

MACRA

Medicare Access & CHIP Reauthorization Act

The Policy That Changed How You Get Paid

M-CHAT, ASQ, Vanderbilt, CRAFFT, SCARED, PHQ-A, built into the EMR for pediatrics with automatic scoring and care plan generation. No printing, no scanning, no third-party tools.

  • MACRA defines how performance influences reimbursement

MIPS

Merit-Based Incentive Payment System

Your Performance Score That Impacts Revenue

MIPS measures provider performance across four categories — Quality, Cost, Improvement Activities, and Promoting Interoperability and adjusts your Medicare payments accordingly.

  • Your MIPS score reflects how your practice performs

Common Gaps That Hurt Your Score

MIPS challenges are rarely technical. They’re operational — rooted in everyday workflows.

Inconsistent Documentation

Inconsistent Documentation

Data missed during visits can’t be recovered at submission.

No Performance Visibility

No Performance Visibility

Without real-time insight, issues surface too late to act on.

Underutilized Interoperability

Underutilized Interoperability

Many practices fail the PI category due to workflow gaps, not missing tools.

Manual Reporting Burden

Manual Reporting Burden

Reactive, manual processes increase errors and admin overhead.

Siloed Systems

Siloed Systems

Disconnected tools create data fragmentation and missed quality measures.

Reactive Issue Resolution

Reactive Issue Resolution

Performance problems discovered after submission — when it’s too late.

What Changes With the Right EHR

A structured EHR doesn’t just make reporting easier — it changes what’s possible.

Without Structured EHR

  • Missed or incomplete data at visits
  • Manual, time-consuming reporting
  • Limited interoperability performance
  • Reactive issue discovery
  • Heavy administrative burden

With OmniMD EHR

  • Structured data captured at point of care
  • Streamlined, workflow-aligned reporting
  • Connected systems supporting the PI category
  • Proactive, real-time performance management
  • Improved operational efficiency across teams

The Four MIPS Performance Categories

Your composite score is built from four areas. OmniMD supports workflows across all of them.

01

Quality

Track and report clinical performance measures across patient care activities.

02

Cost

Evaluate resource utilization and efficiency relative to episode-based benchmarks.

03

Improvement Activities

Engage in activities that enhance care delivery, coordination, and patient outcomes.

04

Promoting Interoperability

Use certified EHR technology for data exchange, patient access, and e-prescribing.

Features Built for MIPS-Ready Workflows

Smart Documentation

Smart Documentation

Capture structured clinical data during patient visits — not after the fact.

Integrated Workflows

Integrated Workflows

Align documentation and care delivery with reporting requirements seamlessly.

Interoperability Support

Interoperability Support

Enable secure data exchange, patient access, and connected e-prescribing.

Performance Visibility

Performance Visibility

Gain real-time insight into workflow readiness and reporting performance.

User-Friendly Interface

User-Friendly Interface

Designed for easy adoption across clinical and administrative teams.

Built for Practices Like Yours

OmniMD is purpose-built for U.S. healthcare practices navigating value-based care.

  • Primary Care Practices
  • Multi-Specialty Clinics
  • Independent Physicians
  • Growing Health Organizations
  • Value-Based Care Transitions

Why Practices
Choose OmniMD

Why Practices  Choose OmniMD
Integrated EHR & RCM

Integrated EHR & RCM

Clinical documentation and revenue cycle management in one unified ecosystem.

Built for Healthcare

Built for U.S. Healthcare

Designed around the specific workflows and compliance needs of American practices.

Scales with Your Practice

Scales with Your Practice

Flexible for independent physicians and growing multi-specialty groups alike.

Certified EHR Technology

Certified EHR Technology

Meets certified EHR requirements for Promoting Interoperability participation.

Exceeding Your Expectations

Exceeding Your Expectations

Transform the Way Your Primary Care Practice Operates

Simplify coding, reduce claim denials, and accelerate reimbursements with integrated medical billing solutions from OmniMD.

Frequently Asked Questions

MACRA is the overarching legislation that established value-based care reimbursement. MIPS is one performance-based program within MACRA’s Quality Payment Program that measures and scores provider performance.

An EHR supports structured documentation, real-time data capture, and interoperability workflows — all required for consistent performance tracking and reporting across MIPS categories.

A MIPS performance category focused on how effectively your practice uses certified EHR technology for data exchange, patient engagement, and care coordination.

OmniMD’s implementation team works with you to ensure a structured transition that minimizes disruption. We help map your existing workflows and data to maintain continuity of reporting.

Yes. By integrating documentation, interoperability, and reporting into a single workflow-aligned system, OmniMD reduces manual effort and the risk of missed data that affects your MIPS score.