When the U.S. government unveiled the Merit-Based Incentive Payment System, or MIPS, it offered small medical practices a chance to increase their Medicare Part B reimbursements.
By providing and documenting excellent patient care, clinicians can raise their reimbursement rate by up to 9%. However, small clinics with limited resources often struggle to fulfill the requirements of MIPS reporting.
This guide covers how MIPS works and how your small specialty practice can raise its score and qualify for higher reimbursements.
Table of Contents
How MIPS Affects Your Practice
How MIPS Impacts Medicare Payments
How MIPS Impacts Your Reputation
MIPS Challenges for Small Practices
Challenge: MIPS Changes Every Year
Challenge: MIPS Documentation Is a Low Priority
Solving Challenges with Expertise
Which Providers Are Exempt from MIPS Reporting?
Ways for Small Practices to Participate in MIPS
Individual vs. Group MIPS Reporting
MIPS, MIPS Value Pathways, and Alternative Payment Models
What Determines Your Final MIPS Score
MIPS Composite Performance Score Formula
Determining Your MIPS Quality Score (30%, or up to 30 points)
Determining Your MIPS Promoting Interoperability Score (25%, or up to 25 points)
Determining Your Improvement Activities Score (15%, or up to 15 points)
Determining Your Cost Score (30%, or up to 30 points)
The Small Practice’s Step-by-Step Guide to Getting the Most Out of MIPS
Understand Reporting Requirements
Engage Your Staff in Reporting
Case Study: From Dodging Penalties to Collecting Higher Reimbursements
Simplify MIPS Reporting with Nextech
How MIPS Affects Your Practice
MIPS was established in 2015 by the Medicare Access and CHIP Reauthorization Act (MACRA). It promotes a healthcare system where providers’ Medicare Part B reimbursement is tied to patient outcomes, rather than a flat fee per service.
Clinicians with more points are reimbursed at a higher rate, while those with fewer points are reimbursed at a lower rate. Providers with a neutral score receive neither an incentive nor a penalty.
How MIPS Impacts Medicare Payments
Providers who participate in MIPS are scored on a scale from 1 to 100. A neutral score is 75; clinicians with 75 points are reimbursed at 100%.
Because MIPS is budget neutral, incentives are subject to a scaling factor.
How MIPS Impacts Your Reputation
MIPS scores are not just between your clinic and Medicare. They also impact your reputation.
Scores are linked to a provider’s public record. If a clinician changes practices, their historical scores move with them.
These scores are recorded on the publicly available CMS record, published annually on CMS Physician Compare. Patients – regardless of whether they are on Medicare – use this site to compare providers and choose the one who is right for them.
In this way, your MIPS score affects not just the Medicare part of your practice, but revenues from self-pay and privately insured patients as well.
MIPS Challenges for Small Practices
Many practices struggle to meet the burden of MIPS reporting. In small practices, where staffing is tight, challenges are more pronounced.
Challenge: MIPS Changes Every Year
Healthcare providers have enough on their minds keeping up with the latest developments in their field, never mind tracking changes in MIPS criteria.
Changes to the program are released every fall and take effect the following January.
From 2023 to 2024, MIPS made changes in 16 areas, including adding, removing, and modifying 95 measures across three categories; raising the threshold for data completion; and adding three new mandates.
Challenge: MIPS Documentation Is a Low Priority
Every member of a small staff juggles multiple responsibilities, often leaving no one free to completely take on MIPS documentation.
In addition, MIPS is reported just once a year, and it takes two years for an updated score to affect reimbursement rates.
For example, a clinician’s 2024 reimbursement rate is based on their 2022 performance.
This tends to put MIPS reporting low on a provider’s priority list. In a busy medical practice, there are always more pressing issues to attend to.
Solving Challenges with Expertise
By hiring staff with MIPS experience and cross training, you can distribute MIPS responsibilities. This keeps any one staffer from being buried by MIPS reporting on top of their other duties.
Much of the reporting burden involves the detailed documentation MIPS requires. Technology that automates the collecting and tracking of MIPS data simplifies the workload and makes it far easier to manage.
With data in hand, you can conduct regular MIPS meetings to review performance and address gaps.
Alternatively, you could contract a MIPS consultant to take reporting off your plate entirely. A consultant is deeply familiar with MIPS and stays on top of annual changes to the program.
This helps you qualify for maximum reimbursements and makes it less likely reporting tasks will fall through the cracks in a busy season.
Learn More About MIPS Consulting
Which Providers Are Exempt from MIPS Reporting?
Small practices and solo practitioners may be exempt from MIPS based on volume thresholds. MIPS-eligible clinicians must meet all three of these thresholds in a calendar year:
- Bill $90,000 or more to Medicare Part B,
- See 200 or more Medicare Part B patients, and
- Provide 200 or more covered professional services to patients on Medicare Part B.
If you meet some of the volume thresholds but not all, you may opt in to MIPS. If you do, you will have to follow the same reporting requirements as any other small practice.
In addition to volume thresholds, clinicians may be exempt if:
- They do not bill Medicare Part B,
- They have been enrolled as a Medicare provider for less than 12 months, or
- They qualify for a hardship exemption.
Hardship exemptions are extended to practices impacted by rare events entirely outside their control, such as fires, natural disasters, or cyberattack.
Unless they are exempt, all MIPS-eligible providers are required to participate in the program. If you’re still not sure whether your practice is eligible or exempt, you can check your MIPS eligibility here.
Ways for Small Practices to Participate in MIPS
Each year, participating clinicians are scored across four categories. Scores are calculated by comparing performance against benchmarks.
The four scores are weighted and combined into a Composite Performance Score, or CPS. Every summer, CMS notifies providers of the CPS they earned the previous year. That score determines their Medicare Part B reimbursement rate for the following year.
How you participate in these categories depends on whether you report as an individual or as part of a group, and on which participation track you choose.
Individual vs. Group MIPS Reporting
You can participate in MIPS as an individual or as part of a group of clinicians.
Individual participants have a single National Provider Identifier (NPI) tied to a single Tax Identification Number (TIN) and meet all eligibility thresholds by themselves.
MIPS-eligible clinicians can also participate as part of a real or virtual group. Real groups have multiple NPIs under a single TIN, such as providers who work together in the same clinic. Virtual groups are made up of practices with fewer than 10 eligible clinicians and may include multiple TINs.
For a small practice, the advantages to reporting in a group include shared resources to tackle requirements like Improvement Activities and to manage reporting documentation. Groups are also a way for providers who don’t meet eligibility thresholds to participate in the program and increase their Medicare Part B reimbursement.
At least one clinician in a group – real or virtual – must meet individual eligibility requirements.
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A potential downside to group reporting is that your score is affected by data from every provider in the group – even those individually exempt from certain requirements.
Every member in the group shares the same score, based on the group’s total performance.
Whether you elect to report as an individual, as part of a group, or as part of a virtual group, make your choice carefully. Once the reporting period begins, you won’t be able to change your mind.
Your choice to report as an individual or a group applies across all four categories; you cannot report as an individual for some and in a group for others.
MIPS, MIPS Value Pathways, and Alternative Payment Models
There are currently three tracks providers can follow when participating in MIPS: traditional MIPS, MIPS Value Pathways (MVPs), or Alternative Payment Models (APMs).
Traditional MIPS
Traditional MIPS is the original pathway outlined in MACRA. In this program, clinicians are scored on four categories: Quality, Promoting Interoperability, Improvement Activities, and Cost.
Within these categories, providers choose from lists of activities to pursue and metrics to measure.
MIPS Value Pathways (MVPs)
MVPs follow the same categories as traditional MIPS, but providers choose from a slimmed-down list of activities and measures.
Small, specialty practices may find MVPs to be a better fit than traditional MIPS. Activities and measures center around specific conditions, public health priorities, and specialties like ophthalmology and dermatology.
This narrower focus can make MVPs easier for a specialty practice to follow. In addition, MVPs allow a practice to choose just four Quality measures (traditional MIPS requires six), and Improvement Activities are double-weighted.
Advanced Alternative Payment Models (AAPMs)
AAPMs are a separate, second track in the Quality Payment Program. They operate under agreements with CMS.
Like MIPS, AAPMs provide incentives based on performance, either at the APM level or the eligible clinician level.
Performance is measured across just three categories: Quality, Improvement Activities, and Promoting Interoperability.
Since small practices are automatically exempt from Promoting Interoperability, Quality makes up 75% of the score for a small practice on this track, while Improvement Activities make up 25%.
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The Four Categories of MIPS
MIPS-eligible clinicians are scored across four categories: Quality, Promoting Interoperability, Improvement Activities, and Costs. These scores are weighted and combined into a single composite score.
Some providers are exempt from the Promoting Interoperability category, and in some cases, there is not enough data to calculate a Cost score.
In both of these cases, the remaining categories are reweighted.
Quality: The Quality measure makes up 30% of your composite score. There are more than 200 available quality measures; traditional MIPS participants choose six, while MVP participants choose four.
Some specialty measure sets contain fewer than six measures; in that case, you must complete the entire set.
Your practice must have at least 20 eligible encounters to apply a measure. At least one of your chosen metrics must be rated a High Priority Measure by CMS.
Promoting Interoperability: The Promoting Interoperability category encourages practices to use technology to engage patients and share health data. This category makes up 25% of your CPS.
Small practices are not required to report in Promoting Interoperability. If you choose to report, however, the data you submit will be scored and taken into consideration in your final CPS.
The four objectives of this category include e-prescribing; providing patients access to their records; supporting or enabling electronic health information exchange; and reporting clinical data on public health statistics.
To be scored in Promoting Interoperability, your practice must use a certified EHR. Without it, your category score will be zero unless you are exempt.
There are a few providers who are exempt from reporting in the Promoting Interoperability category:
- Clinical social workers
- Ambulatory surgery centers
- Hospital-based clinicians
- Clinicians defined as non-patient facing
- Practices with fewer than 16 clinicians under a single TIN
Providers may also be exempt if they qualify for a hardship exemption. Hardship exemptions are approved for providers who:
- Use a recently decertified EHR
- Are located in an area with unstable Internet connectivity
- Lack control over the availability of a certified EHR
- Are experiencing extreme and uncontrollable circumstances such as a natural disaster
If you report as a group, every member of the group must be exempt in order for the group to qualify for an exemption.
Improvement Activities: Improvement Activities make up 15% of your composite score. This category rewards providers for emphasizing care coordination, patient engagement, and patient safety.
Each activity in this category is worth either 10 or 20 points. A practice can complete any combination of activities adding to a total of 40 points. At least half the MIPS-eligible clinicians in the practice must participate in the chosen activities.
Activities are double-weighted for practices with fewer than 16 clinicians. Small practices must still target 40 total points, but their activities are worth either 20 or 40 points apiece.
Double-weighting also applies to rural practices, clinicians who are not patient facing, and clinicians practicing in designated health professional shortage areas.
Note: There is a proposal to eliminate weighted Improvement Activities for 2025, with a decision expected later this year.
Cost: Cost is worth 30% of your composite score and is the only category for which you do not need to provide any documentation.
CMS calculates your Cost score from your Medicare administrative claims. The calculation is based on 29 measures over the course of 12 months.
Learn More About MIPS Consulting
What Determines Your Final MIPS Score
To calculate your MIPS composite score, CMS scores each category, weights the scores, and adds them together.
Some practices qualify for bonus points, which are added to the final score. If your practice qualifies for a Complex Patient Bonus or Small Practice Bonus, check your composite score to make sure they were added.
- The Complex Patient Bonus awards up to 10 additional points to practices serving a patient population that is either medically complex (based on average Hierarchical Condition Categories risk) or socially at risk (based on the proportion of patients who are eligible for both Medicare and Medicaid).
- The Small Practice Bonus awards six additional points in the Quality category to practices that have no more than 15 clinicians billing under the same TIN.
MIPS Composite Performance Score Formula
CPS = (Quality Score x 0.3) + (Cost Score x 0.3) + (Promoting Interoperability Score x 0.25) + (Improvement Activities Score x 0.15) + Bonus
Determining Your MIPS Quality Score (30%, or up to 30 points)
From CMS’ list of available quality measures, your practice will choose six (on traditional MIPS) or four (on MIPS Value Pathways) to measure.
Choose your measures based on your practice’s areas of strength and on your past caseload. You must have at least 20 interactions under a measure in order to use it.
When reporting data, you must include all payers in your data collection. You don’t have to report on every eligible patient or case for every measure. The data completeness threshold is 75%.
Practices with 16 or more clinicians who report on fewer than 75% of eligible cases will receive a zero for that measure. Smaller practices that miss the 75% threshold will receive a maximum score of 3.
When calculating your Quality score, CMS adds your total achievement points across all measures. If your practice has 15 or fewer clinicians, it adds Small Practice Bonus points to that score. The score is then divided by 60.
Finally, improvement points are added. Your improvement points consider the difference between the Quality score you earned this year and the one you earned last year.
MIPS Quality Score Formulas
Improvement Points = (This Year’s Score – Last Year’s Score) / Last Year’s Score x 10
Quality Score = (Achievement Points + Bonus) / 60 + Improvement Points
Determining Your MIPS Promoting Interoperability Score (25%, or up to 25 points)
The Promoting Interoperability category comes with several mandates. These requirements do not have a point value, so meeting them doesn’t contribute to a higher score.
However, failure to meet these mandates nullifies the entire category. Unless you meet all of these requirements, your Promoting Interoperability score will be zero:
- You must use a certified EHR
- You must conduct an annual assessment of the SAFER Guides to optimize EHR safety
- You must perform an annual security risk analysis
- You must attest you are preventing information blocking
- You must provide ONC Direct Review Attestation
- Reporting of Immunization Registry and Electronic Case reporting are required unless an exclusion is claimed
Once you’ve met the mandates, you receive a performance-based score on each measure. To count a measure, submit data on your performance over at least 180 consecutive days.
Promoting Interoperability is divided into four objectives, each of which has activities that earn you points.
You can achieve a maximum of 20 points for e-prescribing (10 for e-prescribing and 10 for querying the Prescription Drug Monitoring Program), 30 points for Health Information Exchange, 25 points for Provider to Patient Exchange, and 25 points for Public Health and Clinical Data Exchange.
You can also earn up to 5 bonus points. To achieve the bonus, meet the category’s criteria for Public Health Registry Reporting, Clinical Data Registry Reporting, or Syndromic Surveillance Reporting.
The maximum number of bonus points is 5, whether you participate in one, two, or all three of the bonus reporting programs.
To calculate your score, CMS first finds your performance rate for each activity. That’s the number of times an activity was performed divided by the number of times it could have been performed.
The performance rate is then multiplied by the total points available in each objective. Once the objective scores are all added together, bonus points are added, with 100 being the total points possible.
MIPS Promoting Interoperability Score Formulas
Performance Rate = (Cases in Which Activity Was Performed / Total Number of Applicable Cases)
Objective Score = Performance Rate x Total Objective Points Available
Promoting Interoperability Score = (Objective Score + Objective Score + Objective Score + Objective Score) + Bonus
Determining Your Improvement Activities Score (15%, or up to 15 points)
Improvement activities are divided into high-weight activities and medium-weight activities. You can perform any combination of activities totaling 40 points.
There are 30 high-weight activities and 75 medium-weight activities to choose from.
You will report data on each activity for at least 90 consecutive days.
If your practice has fewer than 16 clinicians, or if you practice in a rural or underserved area, CMS allows you to double-weight your activities. That makes your medium-weight activities worth 20 points and your high-weight activities worth 40.
Small practices, then, can fulfill their Improvement Activities requirement by reporting on just one high-weight or two medium-weight activities.
An ambitious clinic that takes on additional improvement activities won’t be rewarded with more points. The maximum points you can achieve in this category is 40.
For example, a practice that completes three high-weight activities at 20 points apiece will have a total score of 40, not 60.
Note: There is a proposal to eliminate weighted Improvement Activities for 2025, with a decision expected later this year.
MIPS Improvement Activities Score Formula
Improvement Activities Score = Total Points Earned / 40
Determining Your Cost Score (30%, or up to 30 points)
You don’t need to submit any data for the Cost category. CMS calculates your score based on your administrative claims.
CMS measures 29 cost metrics, including episode-based metrics, population-based metrics, and chronic condition metrics. Each measure is worth up to 10 points based on your performance against benchmarks.
Your category score is an aggregate of the scores on each measure.
If your practice doesn’t meet the minimum threshold for these measures, the entire Cost category will be disregarded and the other three categories will be reweighted in your composite score.
MIPS Cost Measures
Episode-Based Measures
- Acute Kidney Injury Requiring New Patient Dialysis
- Asthma/COPD
- Colon and Rectal Resection
- Diabetes
- Elective Outpatient PCI
- Elective Primary Hip Arthroplasty
- Emergency Medicine
- Femoral or Inguinal Hernia Repair
- Hemodialysis Access Creation
- Inpatient COPD Exacerbation
- Intracranial Hemorrhage or Cerebral Infarction
- Knee Arthroplasty
- Lower Gastrointestinal Hemorrhage
- Lumbar Spine Fusion for Degenerative Disease 1-3 Levels
- Lumpectomy/Partial Mastectomy/Simple Mastectomy
- Melanoma Resection
- Non-Emergent Coronary Artery Bypass Graft
- Renal or Ureteral Stone Surgery
- Revascularization for Lower Extremity Chronic Critical Limb Ischemia
- Routine Cataract Removal with IOL Implantation
- Screening or Surveillance Colonoscopy
- Sepsi
- STEMI with PCI
Population-Based Measures
- Medicare Spending Per Beneficiary Clinician
- Total Per Capita Cost
Chronic Condition Measures
- Depression
- Heart Failure
- Low Back Pain
- Psychoses and Related Conditions
MIPS Cost Score Formulas
Measure Score = Points Achieved / Total Points Possible
Cost Score = Sum of All Measure Scores
Automate MIPS Data Tracking With a Cloud-Based EHR
The Small Practice’s Step-by-Step Guide to Getting the Most Out of MIPS
If you’re operating a small medical practice, it’s easy for MIPS to feel overwhelming. Many clinics do just enough to try and avoid penalties.
But consider what achieving incentives could mean. Even with the scaling factor, clinicians who achieved a score of 100 in performance year 2022 were reimbursed at a rate of 108.26% for Medicare Part B claims in 2024.
That’s an extra $8,260 for a provider who bills $100,000 to Medicare Part B.
Keep in mind, every year is different, and 2022 was an unusual year. So, there’s no guarantee we’ll see similar numbers again.
So how can you make the most of MIPS without being overcome by its requirements?
Confirm Eligibility Each Year
As a small or solo provider, you might meet volume thresholds one year and miss them another. Remember that if you don’t meet volume thresholds, you don’t have to report.
Your status can also change as your staff fluctuates. Practices with fewer than 16 clinicians operating under the same TIN qualify for special considerations and exemptions.
Consider a MIPS Value Pathway
MIPS Value Pathways are a streamlined reporting option that may be easier for small practices to manage.
MVPs require you to track fewer, more specific quality measures, which you may find more relevant to your practice’s day-to-day operation.
Understand Reporting Requirements
MIPS requirements change each year. Assign someone on your staff the task of checking in with CMS each fall to stay on top of changes for the next year.
A MIPS consultant can be an invaluable partner in helping you and your staff track changes and understand how they impact your practice.
Nextech’s MIPS consulting offers regular meetings, staff training, and someone to engage with the CMS bureaucracy on your behalf. We also offer a MIPS learning library so your staff can build their own expertise.
Government agencies and professional societies are another good avenue for up-to-date educational content:
- CMS Resources for Small Practices
- The American Academy of Ophthalmology’s Guide to Reporting Under MIPS
- The American Academy of Dermatology Association’s tools and resources for MIPS reporting
- The American Society of Plastic Surgeons MIPS resources
Ongoing documentation is crucial. Keep all of your documents current and in a central location, such as your EHR, so you’re ready for a potential audit.
Staying organized will also help you avoid a mad scramble to meet submission deadlines.
Choose ‘Easy’ Measures
Each MIPS category offers multiple activities and measures to choose from. Some would likely require major shifts in how your staff operates, while others might simply add a step or two to processes you’re already doing.
Select the measures that make the most sense for your practice.
Engage Your Staff in Reporting
Even in a small practice, MIPS can’t be a one-person task. Everyone on the staff has to do their part.
Communicate the importance of participating in and documenting MIPS activities. Hold regular MIPS performance reviews to see how the practice is doing and address any gaps.
Automate Data Collection
California LASIK & Eye stopped worrying about whether their MIPS data was being collected when they implemented Nextech’s ophthalmology specific EHR.
“I’m not thinking, ‘I’m going to click this box so I can meet my MIPS,’” Dr. Kristen Barnett said. “I know it is laid out to collect information requisite for MIPS. The concern of meeting the right measures can disappear; you have the peace of mind knowing that you are staying compliant and can focus on the patient and providing the care that you need to provide.”
Nextech’s EHR qualifies as a certified EHR for the Promoting Interoperability category. Its robust, specialty-specific features can collect the data you need to document performance across all your MIPS categories.
Double-Check Your Score
Mistakes can happen. When you receive your composite score from CMS, review it carefully.
- Does it include all the bonuses you earned?
- Were your improvement activities double-weighted?
- Did you receive small-practice consideration for data completeness?
- Were you granted all the exceptions you qualified for?
If you find an error in calculating your score, you have 60 days to appeal it to CMS.
Case Study: From Dodging Penalties to Collecting Higher Reimbursements
Kitty Arp, the office manager at Dermatology Associates of West Texas, has her hands full managing a successful practice. Keeping up with MIPS was a big challenge.
Arp’s only goal was to avoid penalties in the practice’s Medicare reimbursements. Even that was difficult.
“I didn’t even know what our MIPS scores were most of the time,” she said.
Nextech stepped in to ease the strain with MIPS consulting services. Now, Arp is confident in what she needs to do. And her goal has shifted from avoiding penalties to continuing a new trend: receiving bonuses.
Practices that partner with Nextech for MIPS consulting scored 10 points higher than the national average of 82 for the 2023 reporting year.
Read the full case study here.
Simplify MIPS Reporting with Nextech
Nextech’s tools take the stress and uncertainty out of meeting MIPS requirements.
With our consulting services, feel confident your practice is tracking the right measures and measuring them the right way. Your staff will gain clarity on what they need to do and why to maximize your reimbursement.
With our certified EHR technology, practices in ophthalmology, dermatology, plastic surgery, and orthopedics can automate data collection. Create a central repository for all your MIPS documentation, making it easy to track progress and analyze trends.
See how Nextech can help your practice.
FAQs
What is MIPS?
MIPS is the Merit-Based Incentive Payment System. It is a program created by the U.S. government that ties Medicare Part B reimbursement rates to metrics measuring a health care provider’s patient outcomes and quality of care.
Is participating in MIPS voluntary?
No. Unless they qualify for an exemption, the following medical clinicians must participate in MIPS:
- Physicians in any specialty who bill Medicare Part B
- Osteopaths
- Physician assistants
- Nurse practitioners
- Clinical nurse specialists
- Certified registered nurse anesthetists
- Physical therapists
- Occupational therapists
- Speech-language pathologists
- Qualified audiologists
- Nurse midwives
- Clinical psychologists
- Dieticians
- Nutritionists
- Clinical social workers
Who is exempt from MIPS?
Clinicians who practice in an eligible role may still be exempt from MIPS if they do not meet patient, service, or billing volume thresholds; if they have been a Medicare provider for less than 12 months; or if they qualify for a hardship exemption.
Certain providers may also be exempt from the Promoting Interoperability category, even if they must report in the remaining three categories.
What is a good MIPS score?
A neutral MIPS score is 75. Any provider who scores between 75.10 and 100 will receive a positive adjustment on their Medicare Part B reimbursement rate.
How are MIPS scores calculated?
Providers are scored on specific criteria in the categories of Quality, Promoting Interoperability, Improvement Activities, and Cost. These scores are then weighted – Quality is worth 30%, Promoting Interoperability is worth 25%, Improvement Activities are worth 15%, and Cost is worth 30%.
The weighted scores are added together to find the provider’s composite score on a scale from 1 to 100.
What changes to MIPS took effect in 2024?
MIPS criteria are updated every year. Changes for 2024:
Quality
- 11 measures removed
- 11 measures added
- 59 measures changed
- ICD-10 coding update criteria revised
- Data completeness threshold raised
- Surveys in a second language required for some providers
Promoting Interoperability
- Definition of certified EHR technology revised
- Certified EHR technology mandated
- Minimum reporting period increased
- Language in Query of PDMP revised
- SAFER Guide attestation mandated
- Automatic reweighting for specific specialties removed
Improvement Activities
- 3 activities removed
- 5 activities added
- 1 activity changed
Cost
- 5 episode-based measures added
- New Cost Improvement Score added
About the Author
Heather Miller has more than 25 years of leadership experience in healthcare operational management, providing comprehensive medical consultation to hundreds of practices. Her expertise includes oversight of revenue cycle management, Medicaid and Medicare compliance, and workflow analysis to increase practice productivity. She has a proven track record in supporting clients in the adoption of electronic health records and providing strategy plans for annual MIPS reporting.
Heather holds a master’s degree in business administration from Rollins College - Crummer School of Business and a second master’s degree in Early Childhood Special Education from the University of Miami. She completed her undergraduate degree at the University of Tennessee in Special Education.