How Health Compiler & Elation Improved MIPS for a Cardiology Practice
Health Compiler + Elation: Solving MIPS for a Cardiology Practice
A cardiology practice with three MIPS-eligible clinicians and about 4,000 patients was doing good clinical work but getting MIPS scores that didn't reflect it. Health Compiler and Elation Health worked together to close that gap, and Elation wrote up how it went.
The reporting was lagging behind the care
The clinicians were documenting thoroughly in their Elation EHR. The problem was everything downstream of that. Staff pulled data manually, built spreadsheets, and calculated performance by hand each quarter. By the time anyone saw a score, the performance period was already closed, so there was no chance to fix anything.
Where the gap was coming from
The real issue was simple once the two teams dug into it: a lot of what clinicians wrote lived in notes and assessments, not in coded fields. A beta-blocker decision buried in a progress note, a cardiac rehab referral mentioned in an assessment. Real clinical work, but invisible to a reporting tool built to read only structured data.
Where the two platforms met
That's where the two platforms met. Health Compiler plugged into the practice's existing Elation setup with no migration and no change to how clinicians documented. Health Compiler's engine reads structured and unstructured data together, pulling directly from the clinical narrative Elation already captures, so the notes that used to get skipped over started counting toward the practice's actual MIPS measures.
What changed for the practice
The scores caught up to the care fairly quickly. Penalty risk went away, and the practice picked up something new: provider-level visibility. Leadership could see, mid-year, that one cardiologist was strong on medication management but needed to tighten up referral documentation, the kind of thing a once-a-year spreadsheet never surfaces. Staff also stopped re-entering information into structured fields just to make it reportable, since the Elation-Health Compiler pairing was already pulling it straight from the notes.
Why this matters
This case shows what's possible when an EHR built for real clinical documentation and a reporting platform built to read all of it work as one system instead of two separate steps. Read the full story on their blog: read it here.