---
title: How MIPS Works
description: How MIPS Works
---
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September 8, 2026
# How MIPS Works
## Capturing MIPS information from the EMR
To get started with MIPS, the system collects relevant data to determine which MIPS measures apply to the patient encounter. Currently, our system supports 7 MIPS quality measures - 4 process measures and 3 patient-reported outcomes.
The data collection process begins at intake where the patient provides the system with the necessary information needed, typically initiated when the patient clicks the **“Complete Intake”** button in their appointment reminder email.
After confirming the appointment, patients should complete the **“Reason for Visit”** form, ensuring all required fields are filled out.
Once complete, click **“Submit”** to proceed to the next step.
Patients are then required to fill out the **“Medical History”** form to provide additional information.
The **“Social History”** section is especially important for MIPS, as the data collected here helps determine which measures the patient is eligible for.
Patients over 65 must answer all 4 questions presented in this section. Patients aged 18–64 will only see and answer the first 2 questions.
After intake is complete, the submitted data can be found in the **“Social History”** section of the patient’s chart. All answers are editable, allowing for changes that instantly update the system.
To check which MIPS measures the patient encounter is eligible for, navigate to the visit note.
Within the visit note, below the **"Review of Systems"** block, you’ll find the **“MIPS Tips”** section. This checklist lists all applicable MIPS measures for the encounter. Tips are selected by default on an empty visit note to simplify provider workflow. Selecting a MIPS Tip adds the relevant template to the finalized visit note.
For all selected tips, the associated billing codes are also automatically added to the **“Billing”** section.
To unselect a MIPS Tips, uncheck the box next to it.
Hovering over any MIPS Tip will display the template along with the billing codes that will be included in the finalized visit note.
If a patient has a prior diagnosis of heel pain, bunion, or hammertoe, the MIPS Tips based on patient-reported outcomes will be displayed. If relevant assessment codes for these conditions are recorded in an encounter, the appropriate MIPS Tip will be displayed automatically during follow-up visits.
Applying master or section templates, or using SALT (Same As Last Time), to a visit note where MIPS information is already added will remove the MIPS selections and the associated codes. The tips must be reselected to ensure they are added to the note.
Once the visit note is complete, click **“Finalize & Sign”** from the bottom navigation panel to generate the final note with MIPS information included.
The finalized note features a separate MIPS section (as well as the RTM section if chosen to be added) containing all templates for the corresponding measures. This information is submitted to CMS, where MIPS scoring is processed accordingly.
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