With 15, 30, or 50+ physicians billing under one TIN, you can't afford one outlier dragging down your score or inviting CMS scrutiny. Pamastay gives you provider-level visibility into performance and compliance risk.
When you report as a group, every provider's performance affects the whole TIN.
With group reporting, your MIPS score is an aggregate. Each clinician in the group receives the same payment adjustment based on group performance—one outlier drags everyone down.
Providers who code significantly different from peers—whether upcoding or patterns that look anomalous—can trigger audits that affect the entire practice.
A 1-2% MIPS penalty on $10M+ in Medicare Part B revenue is $100K-$200K annually—money walking out the door because you couldn't see the problem in time.
Tracking measure performance, denominators, and exclusions across 20, 30, or 50 clinicians requires more than spreadsheets and EHR reports.
Starting 2026, multispecialty groups must form subgroups for MVP reporting. You need provider-level visibility now to prepare for this transition.
Beyond MIPS, claim denials and payer underpayments compound the margin pressure. You need visibility into which providers and codes are driving revenue leakage.
See which providers are helping—and which are hurting—your group's compliance and revenue.
Compare coding patterns, E&M distributions, and billing behavior across all providers in your group. Identify outliers before they affect your score.
Monitor MIPS Quality measures from claims data across all providers. Track denominators, exclusions, and performance by clinician.
See how each provider's coding compares to specialty peers. Identify patterns that look anomalous to payers and auditors.
Get notified when a provider's patterns shift in ways that could trigger audits or invite CMS scrutiny. Act before it becomes a problem.
Track denials by provider, payer, and code. Identify root causes and stop revenue leakage across your group.
Clear reports designed for practice administrators and CFOs. Identify problems, document compliance, and track improvement over time.
Pamastay gives large specialty groups provider-level visibility into compliance risk and performance—before CMS tells you there's a problem.