Promoting Interoperability

There are two paths for reporting Promoting Interoperability (PI) (formerly Advancing Care), depending on the CEHRT being used. Kareo is certified to the 2015 Edition and therefore all Kareo providers can report using the 2017 Promoting Interoperability Transition Objectives and Measures or the Promoting Interoperability Objectives and Measures.

The objectives and measures are split into three groups – Base, Performance and Bonus. The Base group contains 4 to 5 measures that must be reported or clinician receives no credit for the Promoting Interoperability category.

Base Group

To meet the minimum requirement for Promoting Interoperability you need to fulfill the required base measures for a minimum of 90 days. Base measures must have at least one patient in the numerator in order to meet the measure:

• Security Risk Analysis
• e-Prescribing
• Provide Patient Access 
• Health Information Exchange/Send Summary of Care
• Request/Accept Summary of Care

Performance Group

You may also choose to submit up to nine measures for a minimum of 90 days for additional credit.

• Provide Patient Access
• Patient-Specific Education
• Health Information Exchange/Send Summary of Care
• Request/Accept Summary of Care
• Clinical Information Reconciliation
• View, Download and Transmit
• Secure Messaging
• Patient-Generated Health Information
• Immunization Registry Reporting/Public Health Reporting

Bonus Category

And for bonus credit, you can also:

• Report Public Health and Clinical Data Registry Reporting measures
• Use certified EHR technology to complete certain improvement activities in the improvement activities performance category

There are no thresholds but instead you earn points based on your performance percentage. The total achievable score for the Promoting Interoperability category is 165 points. The score is capped at 100 points, at which point a provider achieves full 25% credit for the PI category.

Learn more about the MIPS Promoting Interoperability Dashboard.