2019 MIPS
Promoting Interoperability
Performance Category
Formerly the Advancing Care Information Performance Category (ACI)
- 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
Webinar:
Navigating MIPS in 2019
WATCH OR ATTEND LIVE SESSION
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 | Numerator/Denominator | 10 points* | |||
Numerator/Denominator | 5 bonus points | ||||
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 | Yes/No | 10 points | ||
Protect Patient Health Information | 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.
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