Note: CMS has changed the name of the advancing care information category to promoting interoperability. The category abbreviation has changed from ACI to PI.
Getting Started with 2018 Promoting Interoperability Reporting
- Use a certified EHR technology (CEHRT). See if your EHR system is certified.
- Choose one of the two PI measure sets (see 2018 Reporting Options below).
- Pick a performance period of at least 90 consecutive days in calendar year 2018. The last day to start in 2018 is Oct. 2.
- Choose which way to attest: through the IRIS® Registry, your EHR vendor, or the CMS attestation site.
- Extract or obtain the data for the period determined.
Manually enter your data through the reporting method chosen.
- Some EHR systems may have a ready-made PI report you can run.
- For other systems, you may have to call your vendor.
2018 Reporting Options for PI
In 2018, there will still be 2 measure set options to report:
- Promoting Interoperability Objectives and Measures
- 2018 Promoting Interoperability Transition Objectives and Measures
The option you use to send in data is based on your CEHRT edition.
You can report the PI Objectives and Measures if you have:
- 2015 CEHRT; or
- A combination 2014 and 2015 CEHRT that support these measures.
You can report the 2018 PI Transition Objectives and Measures if you have:
- 2015 CEHRT; or
- 2014 CEHRT; or
- A combination 2014 and 2015 CEHRT.
What are the Minimum PI Attestation Requirements?
To earn a score for the PI category, here are the minimum attestation requirements:
- Use CEHRT
- Submit the performance period (a minimum of 90 consecutive days period in 2018)
- Submit a “yes” to the Prevention of Information Blocking Attestation
- Submit a “yes” to the ONC Direct Review Attestation
- Submit a “yes” for the security risk analysis measure, and at least a 1 in the numerator for the remaining base score measures or submit an exclusion for the base score measures
How to Report Measures with Exclusions
Two base measures, e-Prescribing and Health Information Exchange, have exclusions available. If you qualify for these exclusions, you can still receive the base score if you:
- Report a 0 in the numerator/denominator for the applicable measure(s) AND
- Claim the exclusion through attestation or EHR reporting.
If you claim these exclusions, you will meet the base score but will not receive any performance score points for the measure(s). If you report a 0 in the numerator/denominator for these measures without claiming the exclusion, you will not meet the base score and will receive not receive any PI category points.
How to Group Report PI
When reporting as a group to the PI performance category, the group should combine all of their eligible clinicians’ data under one Taxpayer Identification Number (TIN).
This includes the data of eligible clinicians who may individually qualify for a reweighting of the promoting interoperability performance category (see Hardship page). If these eligible clinicians report as part of a group or virtual group and have data in CEHRT, their data should be included in the group PI submission.
Submission Mechanism Options and Deadlines
IRIS Registry attestation
CMS web portal attestation
- Deadline: March 31, 2019.
EHR vendor attestation
- Deadline: Varies. Check with your vendor.
PI Hardship: If you do not have CEHRT, apply for hardship reweighting.
- For more information: See the Academy's PI Hardship page.
- Key Dates:
- Available by: Sept. 1, 2018.
- Deadline: Dec. 31, 2018.