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 2020, 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.
What should I ask the EHR vendor?
For 2020, 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 2020.
In addition to submitting measures, clinicians must:
View Details on 2020 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
See the following demos to find out how to submit your data to CMS.
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
Help TMA Standardize Quality Measures in Value-Based Care Texas Medicine Today, Dec. 18, 2020
Do Your Security Risk Assessment Before Dec. 31 Texas Medicine Today, Dec.3, 2020
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Last Chance to Start Certain 2020 MIPS Reporting Tomorrow Texas Medicine Today, Oct. 2, 2020
Didn’t Get Your 5% APM Incentive Payment? Take Action by Nov. 13 Texas Medicine Today, Sept. 23, 2020
A Social Shift: COVID-19 Disparities Prompt Emphasis on Value-Based Care Texas Medicine, Sept. 2020
Going Nowhere: APM Committee Resignations Cast Doubt on Payment Models' Future Texas Medicine, April 2020
Check For 2019 MIPS Errors, File Targeted Review by Oct. 5 Texas Medicine Today, Sept. 21, 2020
Get MIPS Credit for Participating in COVID-19 Clinical Trials Texas Medicine Today, April 21, 2020
Apply by April 30 to Avoid a 7% MIPS Payment Penalty Texas Medicine Today, Apr. 20, 2020
CMS Postpones 2019 MIPS Reporting Deadline to April 30 Texas Medicine Today, Mar. 23, 2020
Deadline: Claim Your 5% Medicare Bonus by Feb. 28 Texas Medicine Today, Jan. 21, 2020
An Unfair Game: Quality Payment Program Rules Still Stacked Against Physicians Texas Medicine, Jan. 1, 2020
AMA House Rejects MIPS Plan Texas Medicine Today, Nov. 20, 2019
Do Your Security Risk Assessment Before Dec. 31 Texas Medicine Today, Nov. 14, 2019
Learn The ABCs of the QPP With Free CME Texas Medicine Today, Nov. 11, 2019
Get Details About Your 5% Medicare Bonus Texas Medicine Today, Nov. 5, 2019
CMS Finalizes Changes to QPP, Medicare Fee Schedule Texas Medicine Today, Nov. 4, 2019
More Pain for Small Shops? Texas Medicine, Oct. 1, 2019
Will You Get a Medicare Bonus or Pay Cut Next Year? Texas Medicine Today, July 11, 2019
Be On the Lookout for MIPS Audit Request Texas Medicine Today, June 25, 2019
AMA House Punts on Texas Plan to Fix QPP Texas Medicine Today, June 20, 2019
TMA to Congress: Undo Payment Freeze, Help Physicians With MACRA Texas Medicine Today, June 11, 2019
Texans Invite AMA to Join Crusade to Fix QPP Texas Medicine Today, June 4, 2019
False Impression: Medicine Says Medicare Report Inflates Success of Quality Program Texas Medicine, June 2019
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
75 Ways the Big Medicare Changes Are Very Bad for Physicians and Patients Texas Medicine Today, Sept. 11, 2018
Got MACRA questions, call or email the Knowledge Center
Due to the continuing COVID-19 pandemic, CMS is automatically applying the MIPS extreme and uncontrollable circumstances policy to all MIPS eligible clinicians who do not submit any MIPS data for the 2020 performance period and avoid a 2022 payment penalty.
They’re also extending the deadline for groups, virtual groups and Alternative Payment Model (APM) entities to submit an extreme and uncontrollable circumstances exception application through March 31, 2021, to request reweighting for MIPS performance categories.
Please note, groups and eligible clinicians who submit data in at least two MIPS categories will override the hardship exception and will be eligible to earn a bonus from the exceptional performance bonus pool, or potentially be subject to a penalty.
Quality Payment Program website
CMS Quality Payment Program overview
2019 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)
Teleconferences and Events (CMS)