Promoting Interoperability

  • What Is Promoting Interoperability?

    The Promoting Interoperability (PI) category of the Merit-Based Incentive Payment System (MIPS) requires physicians to attest annually to meeting certain measures prescribed by the Centers for Medicare and Medicaid Services (CMS). The 2024 performance year impacts Medicare Fee for Service payments in 2025.

    In 2024, 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 PI 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 meets the ONC health IT certification criteria. View the list of certified products here.
  • 2024 PI Objectives and Measures

    For 2024, eligible clinicians must use technology that meets the ONC health IT certification criteria.

    Participants must submit collected data for certain measures from each of the measures (unless an exclusion is claimed) for 180 continuous days or more during 2024. It was previously 90 days with 2024 being the first year that the data collection requirement is increased to 180 days.

    In addition to submitting data on the measures, clinicians must positively attest to:

  • 2023 PI Objectives and Measures

    For 2023, eligible clinicians must use technology certified to the 2015 Edition (2015 CEHRT).

    Participants must submit collected data for certain measures from each of the measures (unless an exclusion is claimed) for 90 continuous days or more during 2023.

    In addition to submitting measures, clinicians must:

    View Details on 2023 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


  • 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


    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?