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Kareo Help Center

Promoting Interoperability

Updated: 10/21/2019
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Beginning in the 2019 reporting year, all eligible clinicians are required to use a 2015 Edition CEHRT and will be scored based on performance in the Promoting Interoperability (PI) Objectives and one mandatory measure.  Measures in this category must be reported for a minimum of 90 days and up to a full year.  This year, the PI category is focused on patient engagement and electronic exchange of health information.

The score is capped at 100 points, at which point a clinician achieves full 25% credit for the PI category. There are no thresholds to meet, instead eligible clinicians earn points based on their performance in measures.

Use the Medicare Promoting Interoperability (MIPS) Dashboard to track progress.

2019 Promoting Interoperability Objectives and Measures

Objective *Measures Maximum Points
e-Prescribing (eRX) e-Prescribing 10 points
Health Information Exchange (HIE) Support Electronic Referral Loops by Sending Health Information 20 points
Support Electronic Referral Loops by Receiving & Incorporating Health Information 20 points
Provider to Patient Exchange Provide Patients Electronic Access to their Health Information 40 points
Public Health and Clinical Data Exchange Report to two different public health agencies or clinical data registries for any of the following:
  • Immunization Registry Reporting
  • Syndromic Surveillance Reporting
  • Exclusions available
10 points
Protect Patient Health Information **A Security Risk Assessment is mandatory, but will not be scored Mandatory


*Exclusions are available for multiple measures. Please see each guide to determine if an exclusion applies to the eligible clinician.

**Clinicians are required to complete a Security Risk Assessment and will have to answer a “Yes” or “No” during their MIPS attestation.  A “Yes” is required to meet this category.  In addition to submitting measures during the MIPS attestation, clinicians must:

  • Submit a “yes” to the Prevention of Information Blocking Attestation,
  • Submit a “yes” to the ONC Direct Review Attestation; and
  • Submit a “yes” for the security risk analysis measure