Medical Billing Services
Medical Billing Services
MIPS Value Pathways (MVPs)

Optimize Performance & Reimbursement

We offer strategic MVP consulting to make sure you select the right Value Pathways and optimize every measure for maximum MVP score and the highest possible payment adjustment.

What is MVP (MIPS Value Pathways)?

MVPs are a new reporting framework designed by CMS to replace the Traditional MIPS. In MIPS, clinicians have the right to select measures from a massive, often irrelevant, inventory. MVPs streamline reporting by organizing measures and activities around a specific specialty like "Advancing Cancer Care" (MVP ID: M0001) or "Advancing Care for Heart Disease" (MVP ID: G0055)..

Key Goals of MVPs

  • Reduce Reporting Burden: Offer a smaller, more meaningful set of quality and relevant improvement activities
  • Increase Clinical Relevance: Ensure the reported data directly reflects the type of care a clinician provides.
  • Support Team-Based Care: Facilitate reporting for multispecialty groups using Subgroup Reporting.
  • Future-Proofing: MVPs are currently optional (for now),but CMS intends to eventually sunset Traditional MIPS, making MVPs the mandatory pathway for most MIPS-eligible clinicians near future.

Transition from Traditional MIPS to MVPs

CMS has signaled a clear and irreversible timeline for replacing Traditional MIPS with the MVP framework, making strategic adoption a necessity, not an option.

Traditional MIPS
Sunset

Traditional MIPS Sunset

CMS is actively positioning MVPs to be the mandatory reporting structure in the near future.

Critical 2026
Deadline

Critical 2026 Deadline

The 2026 performance year introduces a major change for multi-specialty practices: Mandatory Subgroup Reporting for any group choosing to report an MVP (MIPS Value Pathway), But during 2025 it's not mandatory to report as a sub group .

Strategic
Advantage

Strategic Advantage

Early adoption allows your organization to "test-drive" MVPs voluntarily, identify optimal Value Pathways, and establish the necessary internal processes and subgroup structures before the framework becomes compulsory.

Security for
Reimbursement

Security for Reimbursement

Preparing now ensures your practice maximizes its MVP score and secures the highest possible QPP payment adjustment as the entire program shifts to a value-based foundation.

Key Dates for MVPs in 2024 and 2025

This table provides an overview of key dates and timelines related to MIPS Value Pathways (MVPs) for the 2024, 2025, and 2026 Performance Years (PYs). These dates might be changes by CMS, because CMS has revised certain deadlines and timelines for the 2023 and 2024 performance years.

Month/DatePerformance Year (PY)Event Description
November 2024PY 20242025 Medicare Physician Fee Schedule (PFS) Final Rule released with finalized MVPs for Performance Year (PY) 2025
December 31, 2024PY 2024Performance Year 2024 Ends.
January 1, 2025PY 2025Performance Year 2025 Begins.
Jan 2 - Mar 31, 2025PY 2024Data Submission Period for PY 2024.
April 1 - Dec 1, 2025PY 2025MVP Registration window for PY 2025.
June 30, 2025PY 2025Last day to complete Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey Measure registration (if administering as part of an MVP for PY 2025)
July 2025PY 20252026 Medicare PFS Proposed Rule released with newly proposed MVPs and potential modifications to existing MVPs for PY 2026
The Proposed Rule will be available on the Resource Library
November 2025PY 20252026 Medicare PFS Final Rule released with finalized MVPs for PY 2026
December 31, 2025PY 2025Performance Year 2025 Ends.
Jan 2 - Mar 31, 2026PY 2025Data Submission Period for PY 2025 performance data.

Need Help Understanding MIPS or MVP?

Talk to our experts and simplify your reporting process.

We Support All MVP Options

MVP IDs (MIPS Value Pathways Identifiers) are the unique IDs assigned by the Centers for Medicare & Medicaid Services (CMS) to distinguish the reporting framework options within the Merit-based Incentive Payment System (MIPS). They are crucial because they directly link a clinician's specialty/specialities or condition focus to a predefined, integrated set of “Quality”, “Promoting Interoperability” and “Cost Measures”, effectively streamlining the MVP reporting process and making it more clinically relevant.

B u i l d M e a s u r e L e a r n
MVP

MVP Participation Options

For the 2023, 2024, and 2025 performance years, MVPs are a voluntary reporting option available to the following participant types:

Individual Clinicians

A single MIPS-eligible clinician can register to report one MVP.

Single-Specialty Groups:

A group of clinicians under the same “Taxpayer Identification Number” (TIN) that consists of only one specialty type can register to report one MVP for all its members.

Multispecialty Groups:

A group with two or more specialty types can choose to report a single MVP for the entire group. However, the use of subgroups is highly recommended for these groups to allow for more clinically relevant reporting.

Subgroups:

A subset of clinicians within a single TIN that contains at least one MIPS-eligible clinician. This option allows multispecialty practices to report different, more relevant MVPs based on the specialty or condition focus of that subset of clinicians. Subgroup reporting is voluntary for 2025 but is limited to clinicians reporting through MVPs or the APM Performance Pathway (APP).

APM Entities:

An entity participating in an Alternative Payment Model (APM) can also register to report an MVP.

Possible Key Future Change (Starting 2026)

The participation options are set to change significantly for multispecialty groups in the future:

  • Mandatory Subgroup Reporting for Multispecialty Groups (Beginning 2026): Starting with the 2026 performance year, multispecialty groups that choose to report MVPs will be required to form subgroups or report as individuals. They will no longer have the option to report a single MVP at the full group level.

MVPs remains an optional reporting pathway through 2026, but CMS intends to eventually sunset the traditional MIPS reporting option, making MVPs the standard framework.

Worried About Selecting the Right MVP Measures?

Get expert consultation to choose the right MIPS Value Pathway for your practice.

MVPs for Each Performance Category (PY 2025)

The MIPS Value Pathways (MVPs) framework uses the same four foundational Performance Categories as Traditional MIPS, but it fundamentally changes the measures and reporting requirements within them to make reporting more cohesive and relevant to a specific specialty or condition.

Quality

Reduced Measure Count: Instead of selecting 6 measures in Traditional MIPS, MVP participants report 4 quality measures specific to their chosen MVP, including 1 outcome measure (or high-priority measure if an outcome measure is unavailable).

Promoting Interoperability (PI)

MVP-Agnostic: The requirements remain the same as Traditional MIPS (report the full measure set for a continuous 180-day period) unless the participant qualifies for automatic reweighting (e.g., small practice, non-patient facing).

Cost

Specialty-Specific Focus: No data submission is required. CMS automatically calculates the score using MVP-specific episode-based and population-based Cost measures that are relevant to the selected MVP.

Improvement Activities (IA)

Simplified and Reduced Requirement: MVP participants only need to attest to performing improvement activity (1 for small practice, 2 for large practice) for at least 90 continuous days. CMS eliminated the "high-weighted" and "medium-weighted" distinction, simplifying the scoring.

+ Foundational Layer (New!)

Population Health Measures: MVPs include a foundational layer that consists of two claims-based population health measures. CMS will automatically evaluate and apply the highest-scoring population health measure to the participant's Quality score. Participants don’t have to select one during registration.

Why Partner With Us for MVP Reporting Services

Consulting on Selecting MVP

We begin with a deep dive into your practice's current clinical activities, patient population, and specialty mix. We provide expert guidance on which of the available MVPs is the most relevant to your clinic and offers the greatest scoring potential.

Analyze

We aggregate and normalize all necessary data (EHR, paper, registry) and conduct a thorough gap analysis against your chosen MVP's requirements.We benchmark your current performance by reviewing your patients’ data from EHRs and patient charts, focusing on the measures available under your selected MVP to identify your starting score.

Measures Selection

We help you select the best 4 Quality Measures within your MVP set that offer the highest possible achievement points based on historical benchmarks and your patient volume, alongside guiding you on the mandatory Improvement Activities required for optimal scoring.

Performance Optimization

Based on continuous tracking, we provide targeted feedback to clinical and operational staff, suggesting workflow changes, documentation improvements, and best practices to boost your measure scores.

Tracking

We provide a minimum of four feedback sessions (one per quarter) based on the client's requirements. Each feedback session will offer you comprehensive details about your performance throughout the performance year.

Submission

As being a CMS qualified registry We handle the secure and accurate submission of all required data to CMS (via Registry portal) during the annual submission window, ensuring compliance with all deadlines and data completeness standards.

Consulting on Selecting MVP

We begin with a deep dive into your practice's current clinical activities, patient population, and specialty mix. We provide expert guidance on which of the available MVPs is the most relevant to your clinic and offers the greatest scoring potential.

Frequently Asked Questions

An MVP is a subset of measures and activities, centered around a specific specialty, clinical condition, or patient population. MVPs replace the broad selection of measures in Traditional MIPS with a focused, cohesive set. The primary benefits are:

  • Reduced Reporting Burden: Fewer measures are required compared to Traditional MIPS.
  • Clinical Relevance: Measures are aligned with the care you actually provide, making reporting more meaningful.
  • Future of MIPS: CMS intends to sunset Traditional MIPS, making MVPs the eventual mandatory reporting framework.

 No. MVP reporting remains an optional (voluntary) alternative to Traditional MIPS for the 2025 performance year. However, if a multispecialty group chooses to report an MVP, the use of subgroups for reporting is highly recommended.

Your MVP registration is not binding. You simply report mips instead of reporting MVP. 

  • Registration Management: You can change, edit, or delete your MVP registration through your QPP account portal at any point while the MVP registration window (April 1, 2025 to December 1, 2025) is open. You can register early so you can start to plan, and if your mind changes, you can still switch back to Traditional MIPS within the deadline. 

The main registration window for MVPs is typically from April 1 to December 1, 2025.

Yes. You have the option to submit data for both the Traditional MIPS track and MVP in the same performance year (e.g., PY 2025). CMS will automatically credit your practice with the highest final MVP score achieved from any submitted pathway to determine your payment adjustment. This provides flexibility for practices transitioning to the MVP framework.

If you're unable to report through an MVP, you can simply report through Traditional MIPS instead.

MVPs can be reported by:

  • Individual Clinicians
  • Groups (Single-Specialty or Multispecialty)
  • APM Entities

You must select and report 4 Quality Measures from the list available within your selected MVP. At least one of these must be an outcome measure (or a high-priority measure if an outcome is not available).

The Foundational Layer includes the Promoting Interoperability (PI) category and “Population Health Measures”.

  • PI requirements are the same as Traditional MIPS (180-day performance period).
  • Population Health Measures are calculated by CMS using administrative claims data. CMS will automatically calculate all available measures for the MVP participant and apply the highest-scoring measure to the Quality performance category.

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We primarily provide HIPAA medical billing services and MIPS consultancy, among other services. As your HIT consultant, we optimize providers’ performance for improved RCM.

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