Promoting interoperability performance category2019 MIPS

• Must report on all  required measures  across the 4 objectives in order to receive category credit.
• Performance is measured over at least 90 consecutive days.
• If a clinician fails to report on a required measure or claim an exclusion (if applicable), the clinician will not receive a score for the PI performance category. 
• Must use 2015 CEHRT in order to receive category credit. Check CEHRT edition >

Changes from 2018 PI Reporting

• “Base,” “performance,” and “bonus” measures replaced with one set of objectives and measures based on 2015 CEHRT
• All clinicians required to report the same measure set consisting of 6 measures from 4 objectives to receive a PI score unless an exclusion is claimed (if applicable)
• Performance based on the numerator/denominator of each measure, except for the measures associated with the Public Health and Clinical Data Exchange & Protect Patient Health Information objectives, which require “yes or no” submissions
• Points now reweighted to other measures when exclusions are applicable
• Two new optional bonus measures: Opioid Treatment Agreement & Query of PDMP
• Removed 2015 Edition CEHRT bonus; eligible clinicians required to use a 2015 Edition CEHRT in 2019
• New hardship exception for clinicians in small practices (15 or fewer clinicians)
• Exclusions added for the ePrescribing and Health Information Exchange measures

Webinars:Navigating MIPS in 2019

DOWNLOAD OR ATTEND LIVE SESSIONS

Promoting Interoperability Submission Options & Scoring

• SCoring
• Submission

PI Final Score

Performance is calculated using the numerator/denominator of each measure, except for the measures associated with the Public Health and Clinical Data Exchange objective, which require “yes or no” submissions.

The performance rate corresponds to a point value, and the points for each measure are added together to calculate a Promoting Interoperability performance category score of up to 110 possible points.

Objective	Measure	Performance	Maximum Points
e-Prescribing	e-Prescribing	Numerator/Denominator	10 points*
	Bonus: Query of Prescription Drug Monitoring Program	Numerator/Denominator	5 bonus points
	Bonus: Verify Opioid Treatment Agreement Measure	Numerator/Denominator	5 bonus points
Health Information Exchange	Support Electronic Referral Loops by Sending Health Information	Numerator/Denominator	20 points
	Support Electronic Referral Loops by Receiving and Incorporating Health Information	Numerator/Denominator	20 points*
Provider to Patient Exchange	Provide Patients Electronic Access to their Health Information	Numerator/Denominator	40 points
Public Health and  Clinical Data Exchange	Choose 2 of the following: Immunization Registry Reporting Syndromic Surveillance Reporting Electronic Case Reporting Public Health Registry Reporting Clinical Data Registry Reporting	Yes/No	10 points
Protect Patient Health Information	Security Risk Analysis	Yes/No	0 points**

* Exclusions available

*Security Risk Analysis remains part of the requirements for the Promoting Interoperability performance category, but will no longer be scored as a measure.

An organization may choose to submit measure data to CMS as an individual or as a group through any the options below.

Method	Individual Submisson	Group Submission
Qualified Registry
QCDR
EHR
CMS Web Interface

Stay up to date with the latest news regarding MACRA and MIPS.

The Healthmonix Advisor is a free weekly news source, connecting you to the latest updates in the value-based care industry.