Oasis Medical Solutions Blog

Date: December 22, 2025

The 2025 MIPS Final Countdown:
Accuracy, Evidence, and Submission

The 2025 MIPS performance year concludes on December 31. While the official submission window opens January 2 and closes March 31, 2026, your ability to impact your data ends at the stroke of midnight on New Year’s Eve.

To protect your 2027 Medicare reimbursements, focus on these four critical areas now. 

1. Quality: The 75% Data Completeness Rule

CMS requires data for at least 75% of eligible encounters for every measure reported. 

  • The Rule: Falling below 75% may result in 0 points for that measure for large practices. Small practices (15 or fewer clinicians) may receive a 3-point floor, subject to CMS scoring rules.
  • Action: Make your final audits of your denominators now. Ensure your Quality measure specifications are correctly mapped in your EHR.

2. Improvement Activities: Audit-Proof Your Documentation

CMS can audit these self-attested activities for up to six years. Since weighting has been eliminated for 2025, the focus is strictly on valid participation and evidence. 

  • Requirements: Large practices report two activities; small or rural practices report one. Both require 90 continuous days of performance.
  • Evidence: Maintain a folder with dated logs or meeting minutes. Review the 2025 IA Inventory to ensure your selected activities were not among those suspended or retired this year.

3. Promoting Interoperability (PI): Mandatory Requirements

PI is a 25% weighted category with a functional ‘pass/fail’ structure. Missing a required measure or attestation results in a zero score for the entire category. 

  • Performance Period: All PI measures require a minimum 180‑day performance period within the 2025 calendar year.
  • SAFER Guides: You must attest "Yes" to the High Priority Practices guide.
  • Security Risk Analysis (SRA): This must be signed and dated by December 31, 2025. You can use the official ONC SRA Tool for compliance.
  • PDMP & eCR: The Query of PDMP is required unless you qualify for an exclusion. For Electronic Case Reporting (eCR), CMS has finalized suppression for 2025. You must still report your status or claim an exclusion, but you will not be penalized for failing to meet full criteria.

4. Cost: The 30% Factor

The Cost category is automatically calculated from claims data and accounts for 30% of your score. While you don't "submit" this data, reviewing your internal utilization patterns now is essential for anticipating your final score. Cost scores can fluctuate significantly due to attribution and case mix. Reviewing internal utilization patterns now helps anticipate potential outliers.

Verify Your Performance Before You Submit

Manual audits are prone to error. Azalea Analytics provides the advanced performance metrics and daily dashboards needed to validate your 75% completeness and PI readiness before the portal opens.

Next Steps

We look forward to connecting with you online!

Oasis Medical Solutions is a trusted partner for healthcare practices, offering comprehensive services and support for Azalea Health's suite of electronic health record (EHR) and practice management solutions. Focusing on personalized implementation, training, and ongoing support, Oasis Medical Solutions helps clients optimize their technology to improve efficiency and deliver exceptional patient care.

Subscribe 

The Oasis Difference

At Oasis Medical Solutions, we believe our job goes beyond just selling software. We are your partners in practice success. We monitor these federal deadlines so you don't have to navigate them alone.

Don't miss out on vital updates like this. If you found this alert helpful, make sure you never miss a regulatory change that could impact your bottom line.

Who is 
Oasis Medical Solutions

Oasis Medical Solutions is a healthcare technology company that helps medical practices streamline their operations and maximize revenue. We specialize in providing Electronic Health Records (EHR) systems and related services, including practice management software, billing solutions, and consulting.

With a focus on personalized service and customized solutions, Oasis aims to empower healthcare providers to navigate the complexities of the healthcare industry and focus on delivering quality patient care.

Value-added reseller on a client call, viewing Oasis website and EHR software on a split screen, assisting with healthcare technology solutions.

Ready to Talk?

Schedule a free consultation or explore more about Oasis

Schedule a Free Consultation About Oasis Return to News
LINKS
CONTACT

ADDRESS

PO Box 2498
Hot Springs, AR 71914

PHONE

+1 (800) 230 8380

EMAIL

contact@oasismedsolutions.com

SOCIAL