PI Point Calculation
The PI category accounts for 25 final MIPS points out of the possible 100 final MIPS score. This category requires a performance period of at least 90 consecutive days within 2021.
In 2019, unlike 2017 and 2018, there is a single set of Objectives and Measures to report. This single measure set includes new and existing Promoting Interoperability performance category measures organized under 4 objectives. Measures are no longer classified as base score or performance score measures.
For 2021, the PI category REQUIRES the use of 2015 Edition Certified EHR Technology (CEHRT) for participation. Participants must submit collected data for certain required measures from each of the 4 objectives measures (unless an exclusion is claimed) for 90 continuous days or more during 2021.
In addition to submitting measures, clinicians must:
- Submit a “yes” to the Prevention of Information Blocking Attestation;
- Submit a “yes” to the ONC Direct Review Attestation; and
- Submit a “yes” for the security risk analysis measure.
Note: A HIE Bi-Directional Exchange measure has been added and the bonus points for the optional Query of PDMP measure increased from 5 to 10 points.
Total available category points are 110 with a maximum capped category score of 100 points (10 bonus points available to make total possible 110).
The total PI performance category score will then be multiplied by the 25 final MIPS PI points available. This product is then added to the overall MIPS final score.
Dr. Smith’s EHR is 2015 certified. After completing all the required PI measures Dr. Smith achieves 80 category points.
80 category points ÷ 100 category points possible* = .8 or 80%
*We use 100 category points possible for this calculation rather than the total possible of 110 because this category is capped at 100 points.
Because Dr. Smith achieved 80% of her category points, she can apply 80% of the 25 final MIPS ACI points available to her final MIPS score:
25 final MIPS ACI points x .80 or 80% = 20 final MIPS points
Dr. Smith’s FINAL MIPS ACI score is 20 points, which will be counted towards her final MIPS score. This point total does not meet the 60 MIPS points benchmark; therefore Dr. Smith need to submit data for another category along with the PI category to reach the 60-point benchmark and avoid a 9% penalty on her 2023 Medicare payments.