• MIPS 2018—PI: First, Meet Promoting Interoperability’s Base Score Requirements

    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


    First, you must achieve full marks for the promoting interoperability (PI) base score, which is worth 50% of the maximum PI score. To be successful with this core level of PI participation, you must perform (or claim exclusions for) all the base score measures.

    Tackle either 4 or 5 base measures, depending on which measure set you use:

    • The 2018 PI transition measure set includes 4 base score measures (see Table 15 [PDF]).
    • The PI measure set includes 5 base score measures (see Table 16 [PDF]).

    Report the Security Risk Analysis base score measure by submitting a “yes.” You will be attesting that you conducted or reviewed a security risk analysis, implemented security updates as necessary, and corrected security deficiencies as part of your risk management process. You need to attest “yes” to successfully report this measure.

    Other base score measures involve reporting a numerator and denominator. For the e-Prescribing measure, for example, the denominator is the number of prescriptions written for drugs during the performance period and the numerator is the number of those prescriptions that were 1) generated, 2) queried for a drug formulary, and 3) transmitted using a certified EHR. You need a numerator of at least 1 to successfully report a base score measure. A numerator greater than 1 won’t improve your base score; however, for those base score measures that are also performance score measures, a numerator greater than 1 could improve your performance score.

    Exclusions are available for some base score measures. Some clinicians are seldom involved in transfers of care or referrals, while there are clinicians in some specialties who write few, if any, prescriptions. CMS recognized this and, late last year, updated the rules to allow such clinicians exclusions to 2 of the 2018 PI transition measures and 3 of the PI measures (see Exclusions Available for Some Base Score Measures).

    The base score is all or nothing (0% or 50%)—and if it is 0%, your entire PI score is 0%. To earn the full base score of 50%, successfully report—or, in some cases, obtain an exclusion for—each of the base score measures in the measure set that you are reporting. If you don’t, you will score 0% for both the base score and the overall PI score.

    Editor’s note: A base score of 50% doesn’t indicate that you only got half of the points available for the base score; 50% is the maximum possible base score and represents 50%.

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    Previous: PI: Getting Started With Promoting Interoperability: CEHRT, 2 Measure Sets, and Different Levels of Participation.

    Next: PI: Exclusions Available for Some Base Score Measures.

    Note: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

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