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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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.
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
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)