07/27/2026
The most frustrating MIPS conversations are not about practices that fell short on care. They are about practices that delivered the care and still lost the points. Three patterns show up again and again in eye care.
1. Measure mapping goes unverified. Teams assume the EHR is tracking Quality measures correctly, and it usually is, until a software update changes how data is captured or a registry connection stops mapping cleanly. The encounters happen. They just stop counting.
2. The patient portal measure gets skipped. It is a required component of Promoting Interoperability, and not reporting it is an automatic 25-point loss. Practices mid-transition are especially exposed, because patients often need new portal accounts before engagement can be recorded.
3. Improvement Activity documentation never gets assigned. The activity happens all year. Nobody owns the file of reports, screenshots, and logs that validation requires. At attestation, performed and provable turn out to be two different things.
Our MIPS clients score nearly 9 points above the national average, and most of that gap comes from catching this category of problem sooner. Here are Five common MIPS mistakes and how to avoid them https://hubs.la/Q04qSB450
