Promoting Interoperability

  • What Is Promoting Interoperability?

    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 2022, performance measurement in the MIPS program will be based on four weighted categories.

    • Quality (30%),
    • PI (25%)
    • Improvement activities (15%), and
    • Cost (30%).
    Learn How MIPS Works
  • How Do I Meet the Requirements?

    To meet the requirements of the PI category, an EHR is required.

    • If you do not currently use an EHR, you will have to select, purchase, and implement an EHR. Be sure the product you select is certified. TMA has numerous resources to help practices with selection.
    • If you currently use a certified EHR, check with your EHR vendor to ensure the product you use will be upgraded to meet the required metrics. As vendors upgrade, the product must be certified. The latest upgrade is to the 2015 certification criteria. View the list of certified products here.
  • 2022 PI Objectives and Measures

    For 2022, 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 2022.

    In addition to submitting measures, clinicians must:

    View Details on 2022 Objectives and Measures

    The above link is to a CMS Zip file, so it may take longer to load than normal files.

  • Resources for Objectives and Measures

    Use the following resources to meet the PI objectives and measures. 


    Health Information Exchange

    Provider to Patient Exchange

    Public Health and Clinical Data Exchange

    Security Risk Analysis


  • How Is the PI Category Scored in 2022?

  • How PI Performance Points are Calculated

  • PI Scoring Example

  • Reporting Options


    • Be sure to ask your EHR vendor about MIPS reporting options.
    • You don’t have to use the same reporting mechanism for all MIPS categories. For example, you can report PI via attestation, but submit quality measures via a qualified registry. 
    • When using the Group Reporting option, you must use the same identifier for all reporting methods. For example, you cannot individually report PI and then group report quality measures.
  • Don't Forget About Audits

    CMS could tap you for a MIPS audit in the future. Here are some things to know to prepare your practice.

    • Document everything (take screen shots)
    • Maintain documentation for 6 years
    • Maintain practice email addresses for notification

    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

  • Articles

    Preview Your MIPS Performance Data Before It Goes Public Texas Medicine Today, Nov. 30, 2022

    Medicare Allowing MIPS Relief for “Uncontrollable Circumstances” in 2022 Texas Medicine Today, Nov. 4, 2022

    New Unscored MIPS Measure Can Help You Refine Your EHR Use Texas Medicine Today, July 13, 2022

    MIPS Participation Drops per Preliminary Report Texas Medicine Today, Feb. 9, 2022

    Medicare’s Quality Payment Program Won’t Support Internet Explorer 11 Texas Medicine Today, Sept. 29, 2021

    MIPSperceptions: Study Confirms Doctors’ View of Medicare Program as Burdensome Texas Medicine, June 2021

    Do Your Security Risk Assessment Before Dec. 31 Texas Medicine Today, Dec.3, 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 

    An Unfair Game: Quality Payment Program Rules Still Stacked Against Physicians Texas Medicine, Jan. 1, 2020


    TMA is helping to strengthen your practice by offering advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?