• MIPS 2021—Table: Promoting Interoperability Scoring Methodology

    This content is excerpted from EyeNet’s MIPS 2021; also see the Academy’s MIPS hub page.

    Table: Example—PI’s Scoring Methodology

    PI scoring in action. The example below shows how numerators and denominators are used to calculate performance rates, which are themselves used to determine your measure scores. For detailed descriptions of what will fall within the numerator and denominator of the performance rate–based measures, see each measure’s detailed listings (click on measure title in column 1).

    2021 PI Measure Points Numerator/
    Performance rate Points scored

    Objective: e-Prescribing

    e-Prescribing Up to 10 points 200/250 80% 80% of 10 = 8 points
    Query of Prescription Drug Monitoring Program (PDMP) 0 or 10 bonus points The clinician didn’t report this optional measure.    

    Objective: Health Information Exchange (HIE)

    Support Electronic Referral Loops by Sending Health Information Up to 20 points 135/185 73% 73% of 20 = 15 points
    Support Electronic Referral Loops by Receiving and Reconciling Health Information Up to 20 points 145/175 83% 83% of 20 = 17 points
    HIE Bi-Directional Exchange 0 or 40 points 135/185 Didn’t report this option; reported the two Support Electronic Referral Loops measures instead.  

    Objective: Provider to Patient Exchange

    Provide Patients Electronic Access to Their Health Information Up to 40 points 350/500 75% 75% of 40 = 30 points

    Objective: Public Health and Clinical Data Exchange

    Immunization Registry Reporting Up to 10 points Claimed exclusion N/A 10 points
    Clinical Data Registry Reporting Integrated EHR with IRIS Registry; attested yes N/A
    Total points available: 110 Total points scored: 80 points
    2021 PI score is the sum of your measure scores (capped at 100 points, and reported as a percentage): 80%
    # Contribution to MIPS final score. If PI is weighted at 25% of your MIPS final score (which is the default weight), it can contribute up to 25 points to your MIPS final score—e.g., a PI score of 80% contributes 20 points (80% of 25) to your MIPS final score.

    Previous: Table: Promoting Interoperability Exclusions at a Glance

    Next: Improvement Activities: An Overview 

    DISCLAIMER AND LIMITATION OF LIABILITY: 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.

    COPYRIGHT© 2021, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology®.

    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).