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MIPS

Advancing Care Information (PI)
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PI Performance Category Summary
  • Scoring is based on patient engagement and information exchange
  • Flexible scoring introduced for all measures to promote care coordination for better outcomes
MIPS Composite performance Score
Key Terms for Understanding PI

There are a total of 110 points available in the PI category.

2020 PI Measures:

E-Prescribing

Provide Patients Electronic Access to Their Health Information

Support Electronic Referral Loops by Sending Health Information

Support Electronic Referral Loops by Receiving and Incorporating Health Information

Public Health and Clinical Data Exchange

Failure to meet any one of the PI measures will result in a category score of zero.
Bonus Measures (Optional):

Query of Prescription Drug Monitoring Program (PDMP)

Verify Opioid Treatment Agreement

Key Changes from the Medicare EHR Incentive Program

Under the Medicare EHR Incentive Program, every objective was reported and weighted equally. In Promoting Interoperability, objectives are going to be customizable.

Under the Medicare EHR Incentive Program, measurement emphasized process.

Under the Medicare EHR Incentive Program, it was possible to have to report the same measure for PQRS and for Meaningful Use, but in two different ways. The program is now fully aligned to eliminate redundant reporting.

Previously, there was no exemptions from participation for eligible providers. Now, there are three circumstances that could exempt an otherwise eligible clinician:

  • Participation in an Advanced Alternative Payment Model
  • First year with Medicare part B
  • Low Medicare part B volume
Promoting Interoperability Objectives
Electronic Prescribing

Electronic Prescribing

Provider to Patient Exchange

Provider to Patient Exchange

Health Information Exchange

Health Information Exchange

Public Health and Clinical Data Reporting

Public Health and
Clinical Data Reporting

Promoting Interoperability Submission Options & Scoring
  • Submission
  • Scoring

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 MIPS Quality MIPS Quality
QCDR MIPS Quality MIPS Quality
EHR MIPS Quality MIPS Quality
CMS Web Interface MIPS Quality MIPS Quality
Find out which submission option is best for you? Talk to a Consultant
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