Your 2026 MIPS Score Could Cost You Or Pay You
CMS estimates nearly 1 in 3 practices score below the performance threshold each year. Take 60 seconds to find out where you stand and what it means for your 2028 Medicare payments.
Find Your 2026 MIPS Score
Based on CMS 2026 MIPS performance category weights. Your 2026 scores determine your 2028 Medicare payment adjustment.
Step 1 Practice Profile
Step 2 Estimated Performance Scores
Use your best estimate even a rough guess gives you a useful ballpark. You can adjust and recalculate as many times as you want.
Your 2026 MIPS Risk Assessment
Adjust the sliders above and recalculate anytime
Your score vs. 2026 thresholds
Score Breakdown by Category
See How OmniMD Automates Your MIPS Compliance
OmniMD’s EHR and AI RCM platform tracks all 4 MIPS performance categories automatically so you never leave points on the table or miss a reporting deadline.
MIPS 101
The 4 Categories That Make Up Your Score
MIPS is CMS’s quality reporting framework for Medicare providers. Your composite score across 4 weighted categories determines your payment adjustment.
Quality
30% weightReport on 6 quality measures from 200+ options. Measures are benchmarked nationally. Higher performance rates earn higher scores.
Promoting Interoperability
25% weightDemonstrates use of certified EHR e-prescribing, CPOE, health information exchange, patient access, and public health reporting.
Improvement Activities
15% weightAttest to high-priority activities like care coordination, beneficiary engagement, patient safety, and population management. Full credit = 40 points.
Cost
30% weightCMS calculates this automatically from Medicare claims. Measures Total Per Capita Cost and MSPB vs. specialty peers. Not self-reported.
2026 Payment Impact
A 5-Point Difference Can Cost or Earn You Tens of Thousands
A practice billing \$500K in Medicare annually can swing between a \$45,000 penalty and a \$45,000 bonus depending entirely on where their MIPS score lands.
| Composite Score | Risk Level | Payment Adjustment | $500K Medicare Revenue Impact |
|---|---|---|---|
| 0 – 18 pts | High Risk | Up to −9% | −$45,000 |
| 19 – 49 pts | At Risk | −3% to −9% | −$15K to −$45K |
| 50 – 74 pts | Caution | −0.1% to −3% | −$500 to −$15K |
| 75 pts (threshold) | Neutral | 0% | No change |
| 76 – 88 pts | On Track | +0.1% to +4% | +$500 to +$20K |
| 89 – 100 pts | Exceptional | Up to +9% | +$45,000 |
Estimates based on CMS MIPS payment methodology. Actual adjustments vary based on all-participant performance distribution.
How OmniMD Helps
Most Practices Don’t Fail MIPS They Just Don’t Track It
The practices that consistently score above the threshold aren’t necessarily better clinicians. They just have tools that track the right data automatically.
Quality Measure Tracking
OmniMD EHR tracks Quality measures in real time, flags care gaps, and generates CMS-compliant reports before submission deadlines no manual chart audits.
Explore OmniMD EHR →Promoting Interoperability
Our ONC-certified EHR satisfies all PI requirements built in CPOE, e-prescribing, patient portal access, and health information exchange are included, not add-ons.
See PI Features →Cost & RCM Optimization
OmniMD AI RCM reduces unnecessary utilization patterns that inflate your Cost score. Fewer denials, faster AR cycles, and smarter coding all improve your Cost percentile.
Explore AI RCM →Common Questions
Questions We Get Asked Every Time
See Where You Actually Stand Before CMS Does
OmniMD’s EHR tracks all 4 MIPS categories in the background, flags gaps before year-end, and generates your CMS submission automatically. No last-minute scrambling.