Compliance Reporting Automation

Compliance Reporting Automation: Reduce Manual Reporting Burden by 60–75%

Automated regulatory reporting for MIPS, CMS quality programs, state reporting mandates, and payer quality incentive programs. Your quality director stops spending 15 hours a month compiling spreadsheets and starts spending that time on actual quality improvement.

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60–75%reduction in manual reporting hours after automation
The Reporting Burden Problem

Quality Teams Spend Half Their Time on Data Collection

Healthcare quality teams spend 40–60% of their time on data collection and report compilation — not on quality improvement activities. A quality director who should be reviewing care protocols, coaching clinical staff, and driving process improvement instead spends the majority of their month pulling data from the EHR, formatting it for regulatory submissions, cross-referencing with payer requirements, and building spreadsheets for compliance review meetings.

The regulatory reporting landscape for a mid-size physician group now includes MIPS, potentially one or more state Medicaid quality programs, two to five payer quality incentive programs, and possibly FQHC UDS or CMS IPPS reporting. Each program has different measure definitions, different denominator logic, and different submission formats. Managing all of them manually is a full-time job that most quality directors are doing in addition to their actual quality work.

Vizier's compliance reporting automation doesn't eliminate the need for a quality director — it eliminates the data compilation work, so the quality director can focus on what the data is telling them and what to do about it.

BEFORE AUTOMATION
Pull MIPS measure data from EHR
3 hrs/mo
Format payer quality reports
2 hrs/mo
Compile state Medicaid quality data
2 hrs/mo
Cross-reference measure definitions
2 hrs/mo
Validate and reconcile numbers
3 hrs/mo
Build submission-ready exports
3 hrs/mo
Total manual reporting time
15+ hrs/mo
After Automation: 3 hrs/mo
Review, validate, and approve automated outputs
Programs Covered

Every Program Your Quality Team Reports To

MIPS
Full composite score tracking across Quality, Promoting Interoperability, Improvement Activities, and Cost categories. Real-time score projection with measure-level performance tracking throughout the performance year. Submission-ready data export for registry or CMS Web Interface submission.
HEDIS-Adjacent Measures
NCQA's HEDIS measure specifications inform quality programs across commercial and Medicare Advantage payers. Vizier tracks HEDIS-adjacent measures — including the subset most commonly included in payer quality incentive programs — using the same denominator logic as NCQA's published specifications.
State Medicaid Quality Programs
State STAR programs, AHCCCS quality measures (Arizona), and other state Medicaid quality incentive programs with measure definitions that differ from federal MIPS specifications. We configure state-specific measure logic so your Medicaid quality reporting doesn't require a separate manual process.
Payer Quality Incentive Programs
UnitedHealthcare's Quality Incentive Program, Aetna quality bonuses, Blue Cross quality programs, and other payer-specific quality performance arrangements. We configure the payer-specific measure definitions that differ from standard MIPS or HEDIS specifications and track performance toward quality bonus thresholds.
FQHC UDS Reporting
Federally Qualified Health Centers submit UDS (Uniform Data System) reports to HRSA annually. UDS Tables 6B and 7 include clinical quality measures with FQHC-specific denominator logic. We configure UDS measure tracking alongside MIPS tracking so FQHCs don't maintain two parallel reporting systems.
CMS IPPS Quality Reporting
Inpatient Prospective Payment System quality reporting requirements for hospitals — including Hospital IQR, PC measures, and HAC Reduction Program measures. We configure IPPS measure tracking within Vizier's framework so hospital quality teams have a single dashboard for inpatient quality compliance.
How Automation Works

Upload, Calculate, Review, Export

The automation workflow is straightforward: your team uploads the monthly data export from your EHR, Vizier calculates compliance status for all active reporting programs simultaneously, and generates a compliance report showing performance by program and measure. Measures trending below threshold trigger alerts before the next upload cycle — giving you time to investigate and address the problem.

The compliance dashboard shows every active reporting obligation in one place: MIPS composite score, payer quality program performance, state Medicaid program status, and FQHC UDS measure performance (if applicable). Your quality director sees all programs in one view rather than logging into separate portals for each program.

Submission-ready data exports are formatted for the specific submission requirement of each program. The MIPS export matches the format required by your registry or the CMS Web Interface. The payer quality export matches the payer's specified format. Your team reviews and approves — the compilation and formatting are automated.

THE AUTOMATED MONTHLY WORKFLOW
1
Upload monthly EHR export
5 minutes
2
Vizier calculates all active program measures
Automatic
3
Compliance dashboard updates across all programs
Automatic
4
Below-threshold alerts fire for review
Automatic
5
Quality director reviews alert items
45 minutes
6
Submission-ready exports generated
Automatic
7
Quality director approves and submits
30 minutes
Total
Time per month vs. 15+ hours manual
~90 minutes
WHAT CANNOT BE AUTOMATED

The Human Judgment That Should Stay Human

Automation handles data compilation, calculation, and formatting. It doesn't replace the clinical and administrative judgment that compliance reporting requires. Specifically, three things remain with your team:

Attestation decisions
Signing off on MIPS, UDS, or payer quality submissions is a compliance attestation — it requires a human review and approval before submission. Vizier prepares the data; your quality director or medical director attests.
Clinical judgment calls
When a measure is underperforming, the decision about what to do about it is clinical. Vizier tells you that your diabetes A1C control rate is 58% against a benchmark of 71% — what to do about it involves clinical leadership, not software.
Submission execution
The submission to CMS, your registry, or your payer still requires a human to log in and submit. Vizier generates the submission-ready data export; your team submits it. This is intentional — it keeps a human in the attestation loop.
What You Get

Compliance Visibility Across Every Active Reporting Program

Automated compliance dashboard covering all active reporting programs in one view
Monthly measure performance report for each program with trend data
Below-threshold alerts: when a measure drops, you know before the next reporting cycle
Submission-ready data exports formatted for each program's specific requirements
Audit trail documentation: what data was used, when it was processed, what the outputs were
Year-over-year performance comparison to identify improvement and regression patterns

The audit trail documentation is often the deliverable that matters most during external review. When a payer questions your quality score or a CMS audit requires documentation of your MIPS measure calculation methodology, the audit trail shows the data source, the calculation date, the measure logic applied, and the output — without requiring your team to reconstruct a paper trail from memory.

The alert system changes the quality team's relationship with compliance reporting. Instead of a monthly scramble to compile data and calculate compliance status, the team receives an alert when something specific requires attention. Most months, the alert count is zero — which means the monthly review is a 30-minute confirmation, not a 15-hour data pull.

How It Works

From Reporting Inventory to Automated Monthly Reports

STEP 01
Identify All Active Reporting Obligations
We work with your quality director to inventory every program your organization currently reports to — MIPS, state programs, payer quality programs, and any accreditation or grant reporting that involves quality measures. Organizations consistently discover reporting obligations they'd under-resourced or missed entirely.
STEP 02
Configure Vizier for Each Program
We configure measure definitions, denominator logic, and threshold settings for each active reporting program. Programs with shared measure definitions (a MIPS measure that also appears in a payer program) are configured once and mapped to both reporting contexts — not duplicated with inconsistent logic.
STEP 03
Baseline Assessment and Ongoing Reporting
The first run produces a baseline performance report across all programs. This is typically the first time organizations see all their compliance reporting in one place. From month two forward, the automated monthly workflow replaces the manual compilation process.
Timeline & Outcomes

What to Expect and When

Configuration takes four weeks from reporting obligation inventory to first automated monthly report. The complexity variable is the number of active reporting programs — organizations with MIPS plus three payer programs take longer than those reporting only to MIPS. We scope the engagement after the inventory phase.

Week 1
Identify all active reporting obligations — often more comprehensive than the team expected
Week 2
Configure Vizier for each program: measure logic, denominator definitions, thresholds
Week 3
Baseline performance assessment: first compliance report across all programs delivered
Month 2+
Automated monthly reporting: upload data, review alerts, approve exports — ~3 hours total
60–75%
reduction in manual compliance reporting hours
15 hrs → 3 hrs
quality director monthly reporting time
0
missed reporting deadlines after automation
12
CMS programs with automated tracking capability
Related Services
MIPS Reporting Solution →MIPS Reporting Automation →
Get Started

Audit Your Full Reporting Obligation Inventory

Schedule a 30-minute consultation. We'll walk through every program your organization currently reports to, identify the manual hours spent on each, and estimate the time savings automation would deliver in your first 90 days.