2020 MIPS

Promoting Interoperability
Performance Category

Formerly the Advancing Care Information Performance Category (ACI)

  • Performance is measured over at least 90 consecutive days.
  • The Verify Opioid Treatment Agreement Measure is removed
  • ​Query of PDMP measure is included as optional with a yes/no response
  • 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. 
25 %
of MIPS Composite Performance Score


PI Category Rules Continued from 2019 to 2020 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

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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 and the PDMP measure, which all 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 105 possible points.

Objective

Measure

Performance

Maximum Points

e-Prescribing

e-Prescribing

Numerator/Denominator

10 points*

​Bonus: Query of Prescription Drug Monitoring Program

Yes/No

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.


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