• MIPS 2018—PI: 3 Bonuses Are Available

    Written By: Rebecca Hancock, Flora Lum, MD, Chris McDonagh, Cherie McNett, Jessica Peterson, MD, MPH, and Sue Vicchrilli, COT, OCS

    This content was excerpted from EyeNet’s MIPS 2018; also see the Academy’s MIPS hub page

    You can earn 3 bonus scores for the promoting interoperability (PI) performance category (formerly known as advancing care information): The registry/agency measure bonus, the CEHRT for improvement activities bonus, and the bonus for using only 2015-edition CEHRT.

    Earn the Registry/Agency Measure Bonus (5%)

    There are bonus measures that involve active engagement with a clinical data registry or a public health agency—2 in the 2018 PI transition measure set (see Table 15 [PDF]) and 4 in the PI measure set (see Table 16 [PDF]).

    What constitutes active engagement? CMS describes 3 options for meeting this requirement:

    Option 1—You’ve completed your registration to submit data. You register to submit data to a clinical data registry or public health agency; your registration is completed within 60 days after the start of the performance period; and you are awaiting an invitation to begin testing and validation. (Note: If you registered with the agency or registry in previous years, you don’t have to submit an additional registration to meet this requirement for each performance period.)

    Option 2—Testing and validation. You are in the process of testing and validating the electronic submission of data to a clinical data registry or public health agency. If the regis­try or agency sends you a request, you must respond within 30 days.

    Option 3—Production. You have completed testing and validation of the electronic submission process and you are electronically submitting data.

    For example, if you integrate your EHR with the IRIS Registry and utilize its dashboard appropriately, you can report either the Specialized Registry Reporting measure (from the 2018 PI transition measures set) or the Clinical Data Registry Reporting measure (from the PI measure set). This would contribute 5% to your PI score—but only if you weren’t already using your participation in the IRIS Registry as an alternative to the Immunization Registry Reporting measure (see A New Way to Boost Your Performance Score).

    Earn the CEHRT for Improvement Activities Bonus (10%)

    This bonus is based on what you report in the improvement activities performance category. Of the 24 improvement activities that you can report via the IRIS Registry web portal, several can qualify you for this bonus. If you use CEHRT functionality to perform 1 or more of those activities, you will get a 10% bonus for your PI score.

    Earn a Bonus (10%) for Using only 2015-Edition CEHRT

    In 2018, you can use 2014- and/or 2015-edition CEHRT, but if you report the PI measure set exclusively using 2015-edition CEHRT for at least 90 consecutive days, you can earn a 10% bonus for your PI score.


    Previous: PI: A New Way to Boost Your Performance Score.

    Next: PI: Several Pathways to a High Score for Promoting Interoperability (Formerly ACI).

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