This is your ONE-STOP shop for all the information that you need regarding MIPS. Reading through this link will help you understand MIPS, how to capture and report MIPS using TRAKnet, and most importantly, help you understand the difference between the complicated Clinical Quality Measures (used by some registries) and the easier and more podiatry focused Quality Measures (used by MedXpress).”       

MIPS 2019

MIPS (Merit-based Incentive Program System) is a Medicare payment program that is intended to incentivize eligible clinicians to focus on the quality of care rather than quantity of care. MIPS streamlines and combines such currently legacy Medicare programs as meaningful use and PQRS.

Clinicians are scored based on the following areas:

  • Quality (formerly PQRS and CQMs)

  • Promoting Interoperability (formerly Meaningful Use and Advancing Care Information)

  • Improvement Activities (expanding hours, improving outreach, etc.)

  • Cost (based on episode-specific costs reported on claims)


Using an EHR, like TRAKnet, can help clinicians easily report MIPS measures. Instructions for TRAKnet are included below.

(Recorded October 2019)

Informational Webinars

Dr. Jeffrey Lehrman
Certified Professional Coder
Advisor, APMA Coding Committee
Expert Panelist, Codingline
Advisor, APMA MACRA Task Force

(Recorded January 2019)

Submitting 2019 MIPS

Data in

Instructional Videos - Promoting Interoperability

Run Report

and Complete Measures

Security Risk Analysis

Provide Patient


Support Electronic Referral Loops by Sending Health Information

Public Health and

Clinical Data Exchange

MedXpress Registry Upload Video Instructions:

Uploading to MedXpress Registry

A changes to TRAKnet has been made to show the Promoting Interoperability Report under a specific “PI 2019” tab.


You can upload your MIPS data to the MedXpress Registry. For instructions, watch the video provided.

Uploading Using Other Registries

If you plan on submitting quality measures to any registry other than MedXpress, please ensure that your selected registry accepts the quality measures that you performed.


The many different registries all have different quality measures that they accept. NEMO Health has trained TRAKnet users on the quality measures that MedXpress accepts.


Please be aware that your MIPS score could be compromised if you submit to a registry and it does not accept the quality measures that you performed. See more info at eCQMs.

Do You Just Want To Stay Neutral?

In order to remain neutral for the 2019 reporting period and avoid a 2021 penalty under MIPS, a provider’s overall MIPS Composite Score must be 30.


In order to obtain this final score, a provider has multiple options, but here is the easiest method in our opinion:

Those TRAKnet users who are in groups of 15 or fewer and complete two of the following: 


  1. Improvement Activities - One of the following combinations of activities (each activity must be performed for 90 continuous days or more during 2019):

    • 2 high-weighted activities

    • 1 high-weighted activity and 2 medium-weighted activities

    • 4 medium-weighted activities

  2. Complete Quality Measures

  3. Complete Promoting Interoperability Measures


Once complete, you can then register and submit (free) this improvement activity directly to CMS and there is no need for the MedXpress Registry.



Do you still have a question about MIPS?

Ask the expert here!


Please allow 24-48 hours for response. Thank you!



MIPS Reporting in TRAKnet
Clinical Quality Measures
Quality Measures

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Southfield MI 48034

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