Compliance

MIPS reporting built into your clinical workflow — not bolted on after

Most practices lose MIPS points not because of poor care, but because of incomplete documentation and missed measure opportunities. MindWise Health captures MIPS data during session closure — automatically checking measure applicability, collecting required attestations, coding numerators, and syncing to your reporting platform. No spreadsheets. No end-of-year scrambles.

How MIPS scoring works — and why your EHR matters

Your 2025 MIPS performance determines your 2027 Medicare payment adjustment — anywhere from -9% penalty to +9% bonus. The composite score is built from four categories, and MindWise Health helps you maximize points in every one that requires clinical documentation.

Quality (30% of score) — report 6 measures including at least one outcome measure, on 75%+ of eligible patients

Promoting Interoperability (25%) — e-prescribing, health information exchange, patient access, and public health reporting via HTI-1 certified EHR

Improvement Activities (15%) — attest to 1–2 activities over 90+ continuous days

Cost (30%) — calculated automatically by CMS from claims data — no manual reporting needed

Score 75+ to earn a positive payment adjustment — below 75 means a penalty on every Medicare dollar

Small practices (1–15 clinicians) get an automatic 6-point Quality bonus and automatic PI reweighting

MIPS data captured at session closure — not after the fact

In MindWise Health, MIPS isn't a separate workflow. It's a required step in the session closure process. When a clinician closes a session, the system automatically checks which measures apply to that patient and presents only the relevant questions.

Automatic measure applicability check — the system evaluates patient age, diagnoses, medications, visit type, and clinical criteria to determine which measures qualify

Dynamic questionnaire forms — only applicable measures are shown, with measure-specific controls (radio buttons, dropdowns, scoring tools)

Qualified vs. non-qualified measures displayed in dual-column view — clinicians see exactly what applies and why

Built-in scoring for PHQ-2 depression screening, AUDIT-C alcohol screening, and GAF functional assessment

Automatic numerator coding — MIPS-approved CPT/HCPCS codes (G9899, G9906, 3289F, etc.) injected based on clinician responses

Dementia member flag toggle for patients requiring special population measure handling

9 behavioral health measures — purpose-built for your specialty

MindWise Health ships with 9 pre-built MIPS measures specifically selected for behavioral health practices. Each measure has a dedicated eligibility checker, data capture form, and numerator coding engine — no configuration needed.

Measure 134: Depression Screening & Follow-Up Plan — PHQ-2/PHQ-9 screening with documented follow-up for patients age 12+

Measure 431: Alcohol Use Screening & Brief Counseling — AUDIT-C screening with brief intervention tracking

Measure 226: Tobacco Use Screening & Cessation Intervention — screening with counseling documentation for users

Measure 504: Suicide Safety Plan — initiation, review, and update tracking tied to suicide risk assessments

Measure 383: Antipsychotic Adherence for Schizophrenia — PDC (Proportion of Days Covered) tracking for patients age 18+

Measure 047: Advance Care Plan — ACP discussion documentation for patients age 65+

Measure 130: Current Medications Documented — medication list review and documentation at every visit

Measure 487: Social Drivers of Health Screening — SDOH screening questionnaire completion tracking

Smart eligibility engine — knows which measures apply and why

Not every measure applies to every patient. MindWise Health's denominator service evaluates each measure's eligibility criteria in real time — so clinicians never waste time on irrelevant questions and never miss a qualifying encounter.

Patient age calculated at encounter time — age-gated measures (12+, 18+, 65+) automatically filtered

Diagnosis code matching — measures like 383 (Schizophrenia) only surface for patients with qualifying ICD-10 codes (F20.*)

Medication history check — antipsychotic adherence tracked against prescriptions in the last 90 days

Visit type validation — in-person vs. telehealth vs. phone notes handled correctly (phone notes excluded from MIPS)

Performance period enforcement — only sessions within the calendar year measurement window qualify

Per-organization measure configuration — enable only the measures relevant to your practice specialty

Automatic sync to your MIPS reporting platform

Data captured during session closure is automatically exported to MeldRx — a third-party MIPS reporting and submission platform. No manual exports, no CSV files, no copy-paste between systems.

MeldRx integration — patient demographics, encounter details, diagnoses, medications, and numerator codes synced on session closure

Automatic patient profile creation and updates in MeldRx — no duplicate data entry

Encounter records include quality measure attestations with coded numerator values

Event-driven architecture — sync triggered automatically when a session is closed, not on a batch schedule

Code system normalization — ICD-10, CPT, and RxNorm codes translated to MeldRx format automatically

Batch versioning for reliable sync — no lost or duplicated records

Promoting Interoperability — built into the platform

The Promoting Interoperability category (25% of your MIPS score) requires certified EHR technology and specific clinical workflows. MindWise Health supports the key PI measures through its core platform features.

E-prescribing with EPCS certification — satisfies the e-prescribing measure (10 points)

PDMP query support for controlled substance prescriptions

Client portal for patient access to health information — satisfies the Provider to Patient Exchange measure (25 points)

Referral loop data exchange capabilities for Health Information Exchange measures (up to 30 points)

Security Risk Analysis documentation support for the required SRA attestation

Small practices (1–15 clinicians) receive automatic PI reweighting to 0% — those points redistribute to Quality and Cost

Maximize your score — strategies built into the workflow

MindWise Health doesn't just capture MIPS data — it's designed to help you hit the 75-point threshold and maximize your positive payment adjustment.

Data completeness enforcement — the system tracks whether you're meeting the 75% reporting threshold across eligible patients

Small practice bonus automatically applied — 6 bonus points added to Quality numerator for practices with 1–15 clinicians

Outcome measure prioritization — the system highlights outcome measures (required for full Quality scoring)

Improvement Activities attestation — document your qualifying activities directly in the platform

Cost category requires no action — CMS calculates this from your claims data, which MindWise submits automatically

Year-round visibility — don't wait until December to discover you're missing data on 30% of your encounters

+9%

Maximum positive Medicare adjustment

-9%

Maximum penalty for non-compliance

Score threshold for positive adjustment

Pre-built behavioral health measures

“We were working out of four systems just to have one functional EMR. MindWise Health lets us work out of one system.”

Kyle Short

Ally Psychiatry