Promoting Interoperability (PI) is a MIPS reporting category that measures how well clinicians and healthcare workers use certified electronic health records (EHRs) technology. This encourages increased accessibility to personal medical records by patients and for healthcare workers to share information. Below are critical changes and tips for PI reporting in 2024.

Key Changes for 2024

Longer Reporting Period Starting in 2024, clinicians must report their PI data for 180 consecutive days, instead of the 90 days required in 2023. This means the reporting period must start by July 5, 2024, at the latest.

New EHR Certification In 2024, clinicians need to use certified EHR technology (CEHRT). The rules for what counts as CEHRT have been updated to meet regulations set by the Office of the National Coordinator for Health IT (ONC). To check if an EHR system is certified, clinicians can visit the Certified Health IT Product List (CHPL) on the ONC website.

Annual Self-Assessment Required Clinicians must do a yearly check-up using the High Priority Practices Guide from the SAFER Guides. This guide helps ensure that best practices for EHR use are being followed. To get started, look at recommended practices to check if they are fully, partially, or not implemented. To gain additional help and note any actions that might be necessary to take, follow the detailed worksheets found in the guide.

More details can be found on the SAFER Guides webpage on HealthIT.gov.

Changes to PI Reweighting Beginning in 2024, CMS has discontinued automatic reweighting, which means the following clinician types do not need to report PI data:

• Physical therapists, occupational therapists, speech-language pathologists, clinical psychologists, dietitians, or nutrition professionals.

However, automatic reweighting will remain for the following clinician types:

• Clinical social workers, ASC-based clinicians, hospital-based clinicians, non-patient facing clinicians, and those in small practices (15 or fewer).

Clinicians who do not qualify for automatic reweighting can apply for a hardship exception by December 31, 2024, if they face significant challenges like natural disasters or lack of internet.

PI Measures Overview

The PI category has four main objectives:

1. e-Prescribing
2. Health Information Exchange
3. Provider to Patient Exchange
4. Public Health and Clinical Data Exchange

Each objective has required and optional measures set by CMS. Clinicians must submit data for all required measures for at least 180 days unless they qualify for an exclusion.

Scoring PI

The PI score is calculated by adding up the points earned from the submitted measures and then multiplying by the 25% PI category weight. Each measure is scored based on how well the clinician or group performs (for example, the percentage of successful actions or answering “yes” to certain questions).

Within this PI category, clinicians or practices can earn up to 105 points, while the score is capped at 100 points. If a clinician qualifies for an exclusion for a measure, the points for that measure are reallocated to another measure.

Submitting PI Data

Experts at Quantician are available to ensure that all PI reporting requirements are met and performance scores are optimized, and reimbursements are maximized. To learn how Quantician can streamline PI reporting and enhance practice efficiency, schedule a demo today.