Email Address
info@revenuecaremd.com
Phone Number
+1 (254) 268-1617
Our Location
Austin, TX 78731, USA
info@revenuecaremd.com
+1 (254) 268-1617
Austin, TX 78731, USA
August 26, 2025
In today’s healthcare landscape, compliance isn’t just about avoiding penalties — it’s about securing the reimbursements your practice deserves. Yet, year after year, thousands of doctors lose significant revenue simply because they aren’t fully aligned with MACRA (Medicare Access and CHIP Reauthorization Act) and MIPS (Merit-based Incentive Payment System) requirements.
And here’s the shocking truth: many don’t even realize it until the penalty hits.
If your practice doesn’t report these correctly (or at all), Medicare can reduce your reimbursement by up to 9%.
Let’s put this in perspective:
These aren’t small penalties — they’re silent revenue leaks that directly hit your bottom line.
Here’s the flip side: meeting MACRA & MIPS benchmarks doesn’t just help you avoid penalties — it actually boosts your reimbursements.
Top-performing practices can earn bonus incentives for exceeding performance thresholds. Meaning: compliance isn’t just defense — it’s offense.
MACRA is a law that reformed Medicare payments, while MIPS is a performance-based payment program under MACRA.
Non-compliance can reduce Medicare reimbursements by up to 9% each year.
Because of complex rules, frequent updates, lack of staff training, and limited compliance tools.
Yes, even small practices earning $1M annually can lose $90K in a single year due to non-compliance.
No, exceeding benchmarks can bring bonus incentives and increase reimbursements.
By auditing reporting processes, using updated EHR/billing systems, training staff, or outsourcing compliance tasks.
Yes, RCM experts handle compliance, reduce errors, and ensure practices maximize reimbursements while avoiding penalties.
MACRA and MIPS penalties are the silent killers of medical practice revenue. But they don’t have to be. With the right systems and support, doctors can transform compliance from a burden into a profit-generating opportunity.
Every year you wait, you’re leaving thousands — even millions — on the table.
Healthcare Revenue Cycle Expert at Revenue Care MD. Passionate about helping medical practices maximize revenue and reduce billing errors.
Have any questions? We’re here to help you with the right answers.