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  • MIPS Promoting Interoperability—Meet These Nine Requirements in 2019

    By Chris McDonagh and Jessica Peterson, MD, MPH
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    Excerpted from “MIPS—What’s New for 2019”, a two-part EyeNet series (January and February, 2019), published online ahead of print. You also should bookmark EyeNet's MIPS 2019 (also published online ahead of print) and the Academy's MIPS hub page.

    2019 Promoting Interoperability (PI) At a Glance

    To get a PI score, you must satisfy all nine of these requirements. If you fail to do that, your PI score will be zero.

    1. Your EHR system must be 2015-edition certified EHR technology (CEHRT).

    2. Submit a “Yes” for attesting to having performed a Security Risk Analysis during the performance year.

    3. Submit a “Yes” for the Prevention of Information Blocking attestation

    4. Submit a “Yes” for the ONC Direct Review attestation

    Requirements 5-9. Satisfy the reporting requirements for the measures listed below. There also are two optional opioid-related measures. (The minimum performance period for all these measures is 90 consecutive days.)

    Reporting Requirement

    Points
    e-Prescribing Objective

    5. e-Prescribing measure. Report a numerator of at least 1 or claim an exclusion.*

    Exclusion: Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period.

    		 Up to 10 points
    Optional opioid-related measure—Query of Prescription Drug Monitoring Program (PDMP) Up to 5 points
    Optional opioid-related measure—Verify Opioid Treatment Agreement Up to 5 points
    Health Information Exchange Objective

    6. Support Electronic Referral Loops by Sending Health Information measure. Report a numerator of at least 1 or claim an exclusion.*

    Exclusion: Any MIPS eligible clinician who transfers a patient to another setting or refers a patient fewer than 100 times during the performance period.

    		 Up to 20 points

    7. Support Electronic Referral Loops by Receiving and Incorporating Health Information measure. Report a numerator of at least 1 or claim either of these exclusions.*

    Exclusion 1: Any MIPS eligible clinician who is unable to implement the measure for a MIPS performance period in 2019 would be excluded from this measure.

    Exclusion 2: Any MIPS eligible clinician who receives fewer than 100 transitions of care or referrals or has fewer than 100 encounters with patients never before encountered during the performance period.

    		 Up to 20 points
    Provider to Patient Exchange Objective
    8. Provide Patients Electronic Access to Their Health Information measure. Report a numerator of at least 1 for this measure (no exclusion is available). Up to 40 points
    Public Health and Clinical Data Exchange Objective

    9. Satisfy the requirements of the Public Health and Clinical Data Exchange objective

    (a) Report two measures, or
    (b) report one measure for two clinical data registries or public health agencies, or
    (c) report one measure and claim one exclusion, or
    (d) claim two exclusions* from any of the following measures:

    Exclusions are available for each of these five measures (click their links for detailed measure descriptions).    		 0 or 10 points
    Your 2019 PI score is the sum of your measure scores (capped at 100 points, and reported as a percentage). 0 to 100 points
    Contribution to MIPS final score. Your PI score contributes up to 25 points to your MIPS final score. For example, if your PI score is 80%, it contributes 20 points to your MIPS final score.
    * Note: If you claim exclusions, points may be reallocated. For example, if you claim two exclusions for the Public Health and Clinical Data Exchange objective, the 10 points allocated to those measures would be reallocated to the Provide Patients Electronic Access to Their Health Information objective.

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    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.

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    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).