• MIPS 2020—Table: Promoting Interoperability Exclusions at a Glance

    This content was excerpted from EyeNet’s MIPS 2020; also see the Academy’s MIPS hub page.


    Table: PI Exclusions at a Glance

    Exclusions available for some measures. If you successfully claim an exclusion for a PI measure, the points available for that measure will be reassigned to one or more other PI measures as shown below (see column 4).

    2020 PI Measure Points Exclusion Points Reallocation if Exclusion Applies

    Objective: e-Prescribing

    e-Prescribing Up to 10 points Exclusion: Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period. Five points would be distributed to each of the HIE measures.
    Query of Prescription Drug Monitoring Program (PDMP) Up to 5 bonus points No exclusions is needed for this optional bonus measures.  

    Objective: Health Information Exchange (HIE)

    Support Electronic Referral Loops by Sending Health Information Up to 20 points Exclusion: Any MIPS eligible clinician who transfers a patient to another setting or refers a patient [a combined total of] fewer than 100 times during the performance period. The 20 points (or 40 points if you claim an exclusion for both HIE measures) would be distributed to the Provide Patients Electronic Access to Their Health Information measure.
    Support Electronic Referral Loops by Receiving and Incorporating Health Information Up to 20 points

    Exclusion: Any MIPS eligible clinician who receives transitions of care or referrals or has patient encounters in which the MIPS eligible clinician has never before encountered the patient [a combined total of] fewer than 100 times during the performance period.

    The 20 points would be redistributed to the Support Electronic Referral Loops by Sending Health Information measure.

    Objective: Provider to Patient Exchange

    Provide Patients Electronic Access to Their Health Information Up to 40 points No exclusion available.  

    Objective: Public Health and Clinical Data Exchange

    Immunization Registry Reporting

    Electronic Case Reporting

    Public Health Registry Reporting

    Clinical Data Registry Reporting

    Syndromic Surveillance Reporting

    Up to 10 points

    Each measure has its own exclusion; for a link to a detailed measure description that includes the exact exclusion criteria, click on the measure title in column 1.

    Generally speaking, the exclusions are based on these criteria:

    1) Does not diagnose or directly treat any disease or condition associated with an agency/registry in their jurisdiction during the performance period.

    2) Operates in a jurisdiction for which no agency/registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the performance period.

    3) Operates in a jurisdiction where no agency/registry for which the MIPS eligible clinician is eligible has declared readiness to receive electronic registry transactions as of six months prior to the start of the performance period.

    If you attest to one measure and claim one exclusion, the 10 points would remain with this objective.

    If you claim two exclusions, the 10 points would be redistributed to the Provide Patients Electronic Access measure.

     

     

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