• MIPS 2018—PI: Some Clinicians May Be Excused From Promoting Interoperability (Formerly ACI)

    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


    In limited circumstances, you may be able to skip participating in the promoting interoperability (PI) performance category and still potentially earn the maximum MIPS final score of 100 points. Typically, if you don’t report PI measures, your PI score will be zero and your maximum MIPS final score would be 75. However, there are some exceptions to that.

    You need to apply for some exceptions (e.g., the significant hardship exception, small practice hardship exception, and decertified CEHRT exception).

    Other exceptions are automatic (e.g., exceptions for hospital- and ASC-based clinicians, nurse practitioners, physician assistants, clinical nurse specialists, and certified registered nurse anesthetists, and non-patient facing physicians).

    If you fall within 1 of those exceptions, you would be excused from PI and the performance category’s weighting toward your MIPS final score could be reduced to 0. If PI is the only performance category that is being reweighted to 0, its weight is transferred to the quality performance category, which would now contribute up to 75 points toward your MIPS final score.

    If you do any PI reporting during the 2018 performance year, you will have waived your right to any exception from PI. In the situations described above, clinicians would only be excused from PI if they don’t report any PI measures or 2018 PI transition measures; if they do report any of those measures, CMS will assume that they have decided to participate in the performance category and will assign them an PI score that will contribute up to 25 points to their MIPS final score.

    Caveat for group-level reporting. If you are participating in MIPS as part of a group, you won’t be excused from PI unless all MIPS eligible clinicians in the group are excused.

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    Previous: PI: Several Pathways to a High Score for Promoting Interoperability (Formerly ACI).

    Next: PI: Some Exceptions May Be Applied For.

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