The Promoting Interoperability (PI) category of the Merit-Based Incentive Payment System (MIPS) replaces the meaningful use program that requires physicians to attest annually on meeting certain measures prescribed by the Centers for Medicare and Medicaid Services (CMS).
In 2021, performance measurement in the MIPS program will be based on four weighted categories.
To meet the requirements of the PI category, an EHR is required.
For 2021, eligible clinicians must use technology certified to the 2015 Edition (2015 CEHRT).
Participants must submit collected data for certain measures from each of the 4 objectives measures (unless an exclusion is claimed) for 90 continuous days or more during 2021.
In addition to submitting measures, clinicians must:
View Details on 2021 Objectives and Measures
The above link is to a CMS Zip file, so it may take longer to load than normal files.
Use the following resources to meet the PI objectives and measures.
Texas PMP Requirements: Who, What, When, and How (TMA Webinar)
Health Information Exchange
Provider to Patient Exchange
Public Health and Clinical Data Exchange
Security Risk Analysis
CMS could tap you for a MIPS audit in the future. Here are some things to know to prepare your practice.
Yes, You Do Have to Comply With a MIPS Audit Request Texas Medicine Today, Aug. 14, 2019
Audit Readiness – What You Need to Know (TMF Quality Innovation Network)
Learn More About Audit Documentation
TMA reminds you that MIPS will combine parts of the PQRS, VM, and MU programs. If you are new to Medicare’s quality programs or want to know about the latest program requirements, visit TMA’s resource centers to learn more.
TMA MACRA Resource Center
TMA EHR Adoption Resources
TMA Medicaid EHR Incentive Program Resource Center
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Making the CEHRT Switch: EHR Upgrade Required for Incentive Payment Programs Texas Medicine, Jan. 2019
MIPS Audit? Here’s What You Need to Know Texas Medicine Today, Nov. 15, 2018
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Got MACRA questions, call or email the Knowledge Center
Certain practices affected by Texas’ statewide winter storm won’t have to submit data for Medicare’s Merit-Based Incentive Payment System (MIPS) for 2021.
They can if they want, though – and take a gamble on getting either an incentive payment or a penalty.
The Centers for Medicare & Medicaid Services (CMS) announced that its “extreme and uncontrollable circumstances” policy will apply automatically to MIPS-eligible clinicians in federally declared Texas disaster areas as a result of the February storm.
Quality Payment Program website
CMS Quality Payment Program overview
2021 Promoting Interoperability Fact Sheet (TMF Health Quality Institute)
Stay up to date with MACRA deadlines and compliance dates by visiting TMA’s Deadlines for Doctors.
Subscribe to CMS email lists to stay informed of new policies or changes to relevant Medicare programs and for the latest MACRA information.
MACRA Quality Payment Program Email Updates (CMS)
PQRS Email Updates (CMS)
EHR Incentive Program Listserv (CMS)
Medicare Learning Network National Provider Calls and Events (CMS)
Open Door Forums (CMS)