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Promoting Interoperability

General information about the Promoting Interoperability (PI) Objectives and measures.
Updated: 11/18/2021
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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 (Protect Patient Health Information). Measures in this category must be reported for a minimum of 90 days and up to a full year. 

2021 Promoting Interoperability Objectives and Measures

Objective *Measures Maximum Points
e-Prescribing (eRX) e-Prescribing 10 points
Bonus: Query of PDMP 10 points
Health Information Exchange (HIE) Support Electronic Referral Loops by Sending Health Information 20 points
Support Electronic Referral Loops by Receiving & Reconciling 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
10 points
Protect Patient Health Information **A Security Risk Assessment is mandatory, but will not be scored Mandatory

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

*Exclusions are available for multiple measures. Review each guide to determine if an exclusion applies to the eligible clinician. Or, from the Medicare Promoting Interoperability dashboard, click the Claim Exclusions button and review each available exclusion.  Select the exclusions the clinician is eligible for.

**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

Learn more about the MIPS Promoting Interoperability Dashboard.