Quality payment program: Expert: CMS is auditing for MIPS now ­— here’s how to prepare

Why This Topic Matters

MIPS participation can affect payment adjustments, so audit readiness and documentation integrity are important for practices that report under the Quality Payment Program. The article helps readers understand the kinds of records and operational evidence that may be needed to support attestations if CMS reviews a submission.

Article Sections

1. Check EHR capture of data

   This section discusses preparing documentation for potential audits by reviewing data capture, measure specifications, and supporting materials across MIPS performance categories. It also covers general recordkeeping approaches for demonstrating that reported information is supported by practice systems and workflow documentation.

2. Document to demonstrate compliance

   This section addresses the likelihood of audit activity and the need to retain evidence that supports attested responses. It also references CMS’s ongoing review authority and the possibility of post-submission reassessment actions.