Client Results: MIPS & ACO

What happens when your reporting catches up with the work you already do

None of these practices changed how they treat patients. The gap was between the work they were doing and what CMS could see.

Documented client value
$40M+
Client retention
96%
Audit failures
0
Lost to non-compliance
$0
A physician talking with a patient during a blood pressure check at his desk

Every client since 2020 is still with us, unless they retired, were acquired, or stopped billing Medicare.

Case study: pain management

From a 9% penalty to a bonus: an $850,000 swing

A high-volume pain management practice had absorbed MIPS penalties for years, assuming high scores were out of reach for a specialty this complex.

The outcome

$850K

The practice moved from the penalty tier to a positive adjustment, and the setup protects their revenue every year.

Before

9% penalty

After

Bonus

PenaltyNo changeBonus

What the data revealed

The practice wasn't failing. Their tools were.

Their EMR offered a few generic measures that didn't fit a specialized practice. The doctors were doing the work, but they were graded on a menu that ignored their best clinical outcomes.

What changed

  1. 1

    Reporting beyond the EMR

    We used their existing data to report specialized measures their EMR didn't offer. No change to how the doctors practice.

  2. 2

    Finding the hidden value

    High-level clinical work was already documented in their charts. We mapped it to the requirements it satisfied.

  3. 3

    Doctors stayed in the exam room

    We handled the translation behind the scenes, so their expertise was finally visible to CMS.

More results

The same pattern, across very different practices

Four more practices, from a solo physician to a surgical group. The care stayed the same. The reporting changed.
  • $68KACO

    Internal medicine physician

    The invisible work, recognized

    The goal
    He wanted to stay independent but felt the strain of unrewarded patient management.
    The gap
    He was already providing comprehensive care. That effort was invisible to traditional billing.

    Joining the VBCA ACO turned that existing work into a $68,000 revenue increase in year one.

  • 11%MIPS

    Solo physician

    Ending the independence tax

    The goal
    He faced a 9% MIPS penalty simply because he had no back-office team.
    The gap
    He was a good doctor being penalized for how he reported, not for his care.

    The platform took the reporting off his desk. Total revenue swing: 11%.

  • $250KMIPS

    Orthopedic surgery group

    From generic to specialized

    The goal
    A mid-sized surgical group was failing MIPS on software that offered only one-size-fits-all measures.
    The gap
    Their surgical outcomes were ignored by generic reporting tools.

    We mapped their data to specialty-specific measures. Recovery: $250,000.

  • 148%MIPS

    Community practice

    Simplicity at scale

    The goal
    The practice was overwhelmed by the manual workload of a high-friction reporting vendor.
    The gap
    Reporting was pulling clinicians away from their patients.

    Switching to our registry produced a 148% score improvement with a fraction of the work.

The switch from doing it ourselves to having their team handle it was the best operational decision we have ever made.
Practice administrator, VBCA clientSee the platform they use

What they have in common

Make the work visible, price every decision, and submit numbers that hold up in an audit. Once the reporting caught up with the work, the scores and the revenue followed.

Ask us which of these cases looks like yours

Every result on this page started with an honest read of where the practice stood. Tell us your specialty and how you report today, and we'll point you to the closest case.

Tell us where you stand

Helpful to have: your specialty, number of clinicians, and last year's MIPS score if you know it.
Get a read on your positionExplore the platform

Or email Support@VBCA.com