MIPS 2023—PI: An Overview

This content is excerpted from EyeNet’s MIPS 2023: A Primer and Reference; also see the Academy’s MIPS hub page.

Promoting interoperability (PI) is the MIPS performance category that is based on your use of electronic health records (EHRs).

Default weight in MIPS final score: 25%.

Performance period: The same 90+ consecutive days for all scored measures, but the unscored measures (Security Risk Analysis measure and High Priority Practices of the SAFER Guides measure) can be performed at any time of the calendar year.

Performance requirements: 

• Use an EHR system that has 2015-edition Cures Update certification, and provide CMS with your EHR system’s CHPL identification code.
• Perform the unscored Security Risk Analysis measure.
• Perform the unscored High Priority Practices of the SAFER Guide measure.
• Perform and report—or, where applicable, claim an exclusion for—all the mandatory scored measures (see Table: Promoting Interoperability at a Glance).
• Make four attestations (regarding the Security Risk Analysis measure, the High Priority Practices of the SAFER Guides measure, Prevention of Information Blocking, and ONC Direct Review); and
• Document your performance in case of audit.

PI is structured around four objectives:

• e-Prescribing objective (under PI’s default scoring, this objective contributes up to 20 points to your PI score)
• Health Information Exchange objective (contributes up to 30 points, down from 40 points in 2022)
• Provider to Patient Exchange objective (contributes up to 25 points, down from 40 points in 2022)
• Public Health and Clinical Data Exchange objective (contributes up to 25 points plus 5 bonus points, up from 15 points plus 5 bonus points in 2022)
  Each objective has at least one measure associated with it.

Collection types: Like last year, you can report your PI measures manually via the IRIS Registry, via the CMS QPP attestation portal, or possibly via your EHR vendor (check that your vendor offers this option, and ask about deadlines and fees).

Warning: You’ll get a PI score of 0% if you submit conflicting data or conflicting attestations on PI measures. (This could happen, for example, if you report PI twice using two different collection types and submit different information each time.)

Not everybody has to take part in PI. In some cases, you may be excused from performing the PI measures.

Previous: Quality Measure Benchmark Summaries
Next: PI: Your EHR System Must Be a CEHRT 

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