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Frequently Asked Questions

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Am I required to submit anything for MIPS for the 2025 Performance Year?

Your 2025 MIPS eligibility status determines whether you’re obligated to submit any data for the MIPS program. Only providers who have exceeded a certain threshold of Medicare patients and Medicare reimbursements are required to submit data. Before proceeding with anything else, it’s critical that you check your latest eligible status. Please do so by accessing this website and entering your NPI. Instructions for interpreting your eligibility results can be found in this help center article. I’ve confirmed I’m eligible for MIPS in 2025 - where do I submit my data? MIPS data submission can be completed by logging into the Quality Payment Program (QPP) website. Each practice needs at least one person to be responsible for submitting the practice’s data. If someone from your practice submitted MIPS data in the past, they can use the same user account to submit your 2025 data. If nobody in your practice has submitted MIPS data before, access this webpage to set up HARP credentials. Once you have these credentials, you can use them later to log into the QPP website.

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What kind of data do I need to submit to CMS?

Each of the four MIPS categories has different data submission requirements. At a high level, you’ll be taking the following actions:
  • Quality Category: Download a QRDA-3 file from the Clinical Quality Dashboard in Elation. Upload this QRDA-3 file to the QPP portal.**
  • Improvement Activities Category: Fill out a form directly in the QPP portal.
  • Promoting Interoperability Category (if applicable): Reference the Promoting Interoperability Dashboard in Elation to fill out a form directly in the QPP portal.
  • CostCategory: No action needed.
Quality measures are tracked based on provider/practice workflows and documentation according to the requirements determined by CMS. As a reminder, quality measures should be selected early in the year and not an afterthought or there will be no opportunity for improvement. Review this Help Center Article on the Quality category as a refresher of how to meet quality in Elation.

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When can I start submitting data? When is the deadline?

The MIPS submission window will open between January 2, 2026 through March 31, 2026. You will need to complete data submission by March 31, 2026, 8 pm Eastern.
Logistical Recommendations
  1. Double check your eligibility to verify if you need to participate in MIPS.
  2. If you find that you’re eligible (required):
  3. Make sure each provider has saved your practice’s TIN under their Elation user profile details.
  4. Ensure at least one person in your practice has HARP credentials so that they can log into the Quality Payment (QPP) portal.

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How do I submit my data?

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Prepare Your Data

Quality
Download your QRDA-3 file from Elation. This is a standardized file with measure data that you can upload to the QPP. The QRDA-3 file can be found under Reports → Clinical Quality Measures. cqmreport.png On the left side of the dashboard, select the correct program, providers, and year and click Generate Summary. Lastly, click Export → Download QRDA-3. dlqrda3.png About QRDA files: The QRDA file will be downloaded to your personal computer. Save the file as you would normally save a file, and retain this file for data validation and potential auditing purposes. The file is in a .xml file format and is not intended to be human-readable if you open it. However, it is decipherable by CMS for their analysis after you upload it to the QPP portal. You can read more about how to export QRDA files in this Help Center Article.
Improvement Activities
Decide which Improvement Activities you are planning to report to the QPP. Review this article to learn more about Improvement Activities.
Promoting Interoperability
This category is reweighted and exempt for any practice with fewer than 15 providers, in an Advanced APM, and other factors.

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Submit Data to The QPP

Now that you have saved and understood what data you are submitting to the QPP, head over to the QPP and login with your credentials. Once you have logged in, be sure to submit your data for Quality (i.e. upload the QRDA-3 file that you downloaded from Elation) and attest to your selected Improvement Activities. For more information on how to navigate inside the QPP portal, and what actions to take, review the QPP User Access Guide published by the QPP. Related Articles