Policy Update: MIPS Audits Are Now in Full Swing

Why This Topic Matters

MIPS participants may need to preserve supporting records for several years and be prepared for audit requests tied to prior submissions. Understanding the scope of CMS review helps organizations maintain appropriate files, coordinate responses, and reduce risk when performance data are examined.

Article Sections

1. Overview

   Introduces the new CMS audit activity affecting MIPS data and explains why prior performance-year records may need to be retained.

2. Here’s What You Need to Know

   Summarizes the audit process, including selection, response expectations, categories under review, and documentation retention considerations.

3. Chances

   Highlights the kinds of records and submission patterns that may draw audit attention and notes practical steps for retaining supporting documentation.

4. Tip

   Describes follow-up communication and file-handling considerations for organizations responding to CMS or contractor requests.

5. Resource

   Points readers to the CMS resource library for additional MIPS audit materials and related performance-year guidance.