MyMipsScore™
MIPS reporting made simple for EHRs, healthcare organizations and provider groups.
What is MyMipsScore™?
MIPS rules change constantly. Deadlines are strict, benchmarks shift, and reporting omissions and errors can lead to penalties. MyMipsScore™ is built to simplify all of it. Designed for EHRs and health organizations, it offers a complete, CMS-ready solution for managing MIPS at scale.
With built-in functionality like MIPS score calculator, measure selection assistance, and direct submission to CMS, you can track performance, pick the most suitable Quality, Promoting Interoperability (PI), and Improvement Activity (IA) measures, and stay audit-ready. The application supports EHR measures (eCQMs), Registry Measures (MIPS CQMs), and MIPS Value Pathways (MVP) reporting with low-lift integration and full compliance. If you’re wondering how to keep up with 2025 requirement to support providers with MIPS, MyMipsScore gives you control without complexity.
Why Choose Us?
CMS MIPS Registry
A CMS Qualified Registry since 2018. Supports all measures across Quality, PI and IA categories with updates, calculations, and submission.
Audit Support
Complete support for audits, targeted reviews, and Extreme and Uncontrollable Circumstances (EUC) filings. Data submitted stays audit-ready for up to 6 years.
All-in-One
One app for eCQMs, MIPS CQMs, and Claims measure dashboards, measure selection, scoring, and submission across Quality, PI, and IA.
Easy Integration
User-friendly app with built-in dashboards, FHIR API support, and streamlined uploads. Direct EHR integration available for customers who need automated workflows at scale.
Certified Modules
Support for (c)(1-4) certification, Real World Plan and Test, and periodic attestations. Built to certify commercial and homegrown EHRs with ease.
MVP Ready
Covers all specialties with support for all 21 MIPS Value Pathways (MVPs) available, traditional MIPS, and custom reporting paths aligned with providers’ clinical focus.
White Glove Service for MIPS 2025
Small provider groups often lack the time and resources to manage complex MIPS reporting. Our White Glove Service is built specifically for practices with 15 or fewer providers, offering hands-on support for selecting measures, tracking progress, and meeting CMS requirements with confidence.
Using our MyMipsScore and built-in measure simulator and MIPS score calculator, we help you identify the right measures, avoid penalty, and improve your overall MIPS score. You focus on caring for patients. We handle the reporting.
If you'd like to simplify MIPS reporting for your group, we can help.
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What is MIPS Score and Why it Matters
Your MIPS score is a number between 0 and 100 based on your performance in four categories: Quality (30%), Promoting Interoperability (25%), Improvement Activities (15%), and Cost (30%). Each category contributes a weighted portion to your final score.
If you bill Medicare Part B, your MIPS score directly impacts how much you get paid. The score you earn in 2025 determines your Medicare payment adjustment in 2027. Score 75 or higher to avoid penalties. A low score (<75) could reduce your payments by up to 9 percent. High scores (>75) can earn you bonus payments.
MyMipsScore supports both Traditional MIPS and MIPS Value Pathways (MVPs), giving you flexibility in how you report and optimize your performance.
What’s Happening?
MIPS 2025 is more demanding, not just for providers but also for EHR vendors and health organizations managing reporting at scale. The rules within each category have changed, measure requirements are stricter, and audit risks are higher. Certification needs, quarterly attestations, and PI requirements now demand a system-level readiness. One misstep in measure selection, data used for measure calculation, or submission can mean lost points and thus penalties.
To help you get it right, we’ve created a practical 10-step guide that simplifies MIPS reporting, scoring, and submission for reporting using traditional MIPS and MIPS Value Pathways (MVPs).
Pick the reporting track - Traditional MIPS, MIPS APMs or MVP. Then decide how you'll report: Individual, Group, Facility-Based. Your choice impacts scoring rules, data requirements, and how you calculate, track, and submit measures.
Step 1:
Choose a Reporting
Track and Mode
Choose 6 Quality measures including 1 outcome measure. Utilize CMS specialty measure sets to simplify the process. You can use other measures from the available measure list if they fit your patient mix and satisfy CMS rules.
Step 2:
Select Quality Measures
for Reporting
Weighting for IA has changed and activities have been updated. Small and rural practices need to submit only 1 activity, while others need 2. Chosen activities must be reported for 90 consecutive days. Short-list and begin tracking early for best scores.
Step 3:
Improvement Activities (IA) Considerations
IA makes up 15% of MIPS score.
Choose from 104 available activities, all equally weighted. For group reporting, at least 50% of clinicians must complete the same activity for 90 consecutive days. Make note of
special scoring considerations applicable.
Step 4:
Improvement Activities (IA) Scoring
Exceptions are applicable at the category level for certain clinician types, reweighting PI category to 0%.
Exclusions apply at the measure level. Certain measures are required to earn a PI score with no exclusion available.
Step 5:
Promoting Interoperability
(PI) Exceptions and Exclusions
Clinicians must use an HTI-1 Certified EHR and report on all required measures across all objectives for 180 consecutive days to earn a PI score. Exclusions may be claimed where applicable. Points for excluded measures are reweighted to other measures.
Step 6:
Promoting Interoperability
(PI) Scoring
The Cost category is 30% of the MIPS score.
No submission is required.
CMS will use Medicare claims data to automatically score across the applicable measures, based on patient volume and eligible cases.
Step 7:
Cost Category Measures and Scoring
Quality counts for 30% of your MIPS score (40% if PI hardship applies). Report 6 measures for full year; 1 must be Outcome or High Priority. You can mix collection types. No bonus for extra measures. Missing Outcome/High Priority = 0 points for Quality.
Step 8:
Quality Weight and Measure Selection
EHRs must support 75% data completeness and 20-case minimum per measure for scoring. Using current-year specs for eCQMs is mandatory. Missing these thresholds means zero points. Tools like MyMipsScore can help select high-scoring measures across collection types
Step 9A:
Quality Measure Data Requirements
Each measure can earn up to 10 points based on benchmarks. Some are capped at 7. Small practices get 6 bonus points. CMS also awards up to 10% for year-over-year improvement. Total points are weighted to calculate the Quality category score.
Step 9B:
Quality Score
Calculation
MIPS score is based on 4 categories: Quality, Cost, Improvement Activities, and Promoting Interoperability. If a category can't be scored, its weight is redistributed. At least 2 categories must be reported to receive a score.
Step 10A:
Final MIPS Score
Calculation
Your 2025 MIPS score affects your 2027 Medicare payments. Score of 18 or less means 9% penalty. Scores under 75 mean penalties, scores above 75 mean positive adjustments. The max payment change is ±9%.
Step 10B:
MIPS 2027 Payment Adjustment
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User Testimonials
Jason Kulatunga
Founder, Fasten Health
"Working with Darena Solutions has been a fantastic experience from day one. Their team have been incredibly responsive and knowledgeable, making the onboarding process seamless. Their platform’s developer experience is truly top-notch, providing well-documented APIs and intuitive tools that allowed us to integrate quickly and efficiently. Their commitment to interoperability and innovation has made them a valuable partner in our journey, and we look forward to continuing to work together."
William Laolagi
Interoperability Software Engineer, IEHP
“Working with MeldRx has been straightforward and surprisingly efficient. I dropped a FHIR bundle in for a patient and it worked seamlessly. The tutorial videos were clear, helping me get my self-hosted CDS Hooks up and running in less than ten minutes. On top of that, registering and connecting a full Angular SMART on FHIR app (including authentication) took about ten minutes as well. I really appreciate how well-thought-out the platform is-it made the whole process smooth from start to finish. As someone who’s been in the interoperability space for 10+ years, I value that level of simplicity and efficiency.”
Erez Lirov
CTO, Clinicmind
"MeldRx enables us to focus on our core competence—delivering best-in-class EHR software—by leveraging their certified FHIR API technology, instead of duplicating efforts to build, maintain, and certify those APIs."
Ian MacDonald
Founder & CEO, PIMSY
“Darena Solutions has been our go-to for everything CURES, MIPS and MU related for the past 10 years. We needed a solution that would be easy to implement, not get in the way, not be crazy expensive, provide great support, check the compliance boxes, and also actually work. Darena Solutions and their MeldRx platform did all of that. I'm not sure how we could have done it without them and I'm extremely grateful for all they help they have given us over the years.”
Partner with us for (g)(10), (b)(11), (c)(1-4) and more
Darena Health has been a leading expert in the healthcare regulatory space for nearly 15 years. In that time, our products have helped dozens of EHRs, healthcare developers, and health systems meet the certification criteria for various regulations including MIPS, HTI-1, and (b)(11).