Off the Chart: A Business of Medicine Podcast · Medical Economics

MIPS update, with 'MIPS Geek Guru' Holly Black of Sightview

·22 min·1 clip

Holly Black says, 'it takes a village to do well in MIPS.'

1. Off the Chart: A Business of Medicine Podcast focuses on Holly Black's 2026 MIPS update and what practices can still do before year-end. 2. Austin Luttrell hosts, and Holly Black joins as Project Manager for Regulatory Affairs and Compliance at SiteView Software. 3. The episode asks what changed in MIPS for 2026, how practices can protect Medicare revenue, and why MIPS is not a one-person job. 4. Black says the biggest quality-category change affects large practices of 16 physicians or more because the three-point scoring floor was removed. 5. She says small practices still get the floor, but large practices can lose points if they miss the 75% data completeness threshold. 6. In the PI category, Black says the security risk analysis is no longer just an attestation. 7. Practices must now document a plan of action for any issues found in the security risk assessment. 8. She warns that topped-out quality measures and very high-benchmark measures can lower scores if practices ignore them. 9. Black also points to documentation changes around the SAFER guide and says practices need the 2025 version, not the 2016 version. 10. Her main advice is to build a MIPS team rather than leaving reporting to one administrator. 11. She says quarterly review can prevent end-of-year scrambling and make staff more familiar with workflows. 12. Black says registry mapping deadlines matter, and she gives September 30 as a common deadline for remapping requests. 13. She also notes that the MIPS attestation window for 2025 ends on March 31. 14. On MVPs, Black says practices can opt in and report both traditional MIPS and MVPs, with CMS using the higher score. 15. She says CMS has not finalized a mandatory date, but 2029 is being discussed. 16. Black names six new specialty measure sets for diagnostic radiology, interventional radiology, neuropsychology, pathology, podiatry, and vascular surgery. 17. She says MVP quality reporting uses four measures instead of six, which can simplify reporting for some specialties. 18. Black speaks in a practical interview style, with Austin Luttrell asking targeted questions about revenue protection, staffing, and documentation. 19. Physicians, practice administrators, and specialty practices tracking MIPS deadlines would likely get the most value here. 20. Listeners who want broad policy theory without reporting details may want to skip it.

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