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 Improvement Activity Reporting
- Determine which of the two scoring methods will be used to score your improvement activities (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 Academy’s IRIS® Registry, your EHR vendor, or the CMS attestation site.
- Ensure that you document each activity appropriately.
- Manually attest through the reporting method chosen.
2018 Reporting Options for Improvement Activities
The measure options you choose to fulfill the maximum improvement activity category score of 40 points depend on your practice size.
If you are in a small practice or practicing in a rural area or Health Professional Shortage Area:
- Each medium-weighted activity is worth 20 points.
- Each high-weighted activity is worth 40 points.
If you are in a practice of 16 or more clinicians:
- Each medium-weighted activity is worth 10 points.
- Each high-weighted activity is worth 20 points.
What are the Minimum Improvement Activity Attestation Requirements?
Minimum attestation requirements to earn a score for the improvement activity category:
- Submit the performance period (a minimum of 90 consecutive days period in 2018)
- Submit a “yes” to your chosen improvement activities that meet the 90-day requirement
- Activities do not need to be initiated for the first time during the performance year. Ongoing activities begun in a previous performance year that are performed for at least 90 consecutive days during the current performance period are also acceptable.
- If you choose to participate in MIPS through the IRIS Registry, you will not meet the reporting requirement for the performance category simply by submitting through IRIS, you must also attest to having completed the QCDR improvement activity or activities through IRIS.
- Do not submit a “yes” to more improvement activities than required to reach 40 points in the IA category.
- There is no benefit to attesting to more than that.
- Everything you attest to is fair game for an audit any time in the subsequent 6 years.
How to Perform and Report Activities for Promoting Interoperability Bonus
Several improvement activities are eligible for a 10-point bonus in the PI category if they are completed using certain CEHRT functionalities. You can claim this bonus if you:
- Use CEHRT
- Ensure the improvement activity is listed as PI Bonus-Eligible.
- To perform the activity, ensure that you view “For the PI bonus” in the “Requirements” section of the activity specification.
- Perform the activity for at least 90 consecutive days.
- Submit a “yes” to the PI Bonus-Eligible improvement activity you performed.
- Under your PI attestation, submit a “yes” to PI_IACEHRT_1.
How to Group Report Improvement Activities
Only one clinician needs to perform for the whole group to get credit.
How to Document Improvement Activities
Follow the instructions in the “Suggested Documentation” section of the activity specification.
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.