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Promoting Interoperability Exception Applications Now Available

August 08, 2018

Promoting Interoperability Exception Applications Now Available

Promoting Interoperability (PI) is the latest rendition of the Meaningful Use program. The PI performance category, one of the four performance categories in the Quality Payment Program, rewards providers for employing and utilizing EHR technology in their practices. In the 2018 performance year, PI counts for 25% of the total MIPS composite score.

However, eligible clinicians and groups may apply for a re-weighting of the PI category, and those 25 points would be allocated to the Quality category.

Eligible clinicians and groups can submit a Quality Payment Program Exception Application based on one of the following reasons:

  • Clinicians in small practices
  • Clinicians using decertified EHR technology
  • Insufficient Internet connectivity
  • Extreme and uncontrollable circumstances
  • Lack of control over the availability of CEHRT

Applications must be submitted by December 31, 2018.

Some MIPS eligible clinicians are considered Special Status Clinicians and will automatically have their PI Category weighted to 0. However, if they chose to submit data under the performance category it will be scored and will count towards their Composite Score.

  • Hospital-based
  • Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, Certified Registered Nurse Anesthetists
  • Non-patient facing
  • ASC-based

A CMS resource describing the PI exception, can be found here.

For more information on the 2018 QPP performance year and how to avoid a 5% penalty, register for the LAMMICO QPP webinar on September 12 from 12-1.

Contact LAMMICO Practice Management Specialist, Natalie B Cohen, MBA, MHA at 504.841.2727 or for more information or a practice specific consultation.

This is not legal or financial advice, and is not intended to substitute for individualized business or financial judgment. It does not dictate exclusive methods, and is not applicable to all circumstances.


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