2022 MIPS update!
Per CMS via the QPP website: Small Practice Automatic Reweighting of PI Category
Beginning with the 2022 performance year, clinicians in small practices (15 or fewer billing under one TIN) qualify for automatic reweighting of the PI performance category to 0%. The 25% category weight will be redistributed to other performance categories unless you choose to submit PI data.
MIPS - PI Performance Category Scoring
Each of the six measures included in the performance score has an assigned maximum point value. The clinician’s statistical performance within each measure then determines the number of those points that they receive. As an example, a clinician who scores 50% for Support Electronic Referral Loops by Sending Health Information would receive 50% of the 20 available points, or 10. In the end, the sum of these points is the clinician’s performance score.
Points
| Objective | Measure | Points |
| e-Prescribing | E-Prescribing | 10 |
| (Bonus in 2021) Query of PDMP | 10 | |
| Health Information Exchange | Support Electronic Referral Loops by Sending Health Information | 20 |
| Support Electronic Referral Loops by Receiving and Reconciling Health Information | 20 | |
| Provider to Patient Exchange | Provide Patients Electronic Access to Their Health Information | 40 |
| Public Health and Clinical Data Exchange | Choose two of the following: |
10 |
| Immunization Registry Reporting | ||
| Electronic Case Reporting | ||
| Public Health Registry Reporting | ||
| Clinical Data Registry Reporting | ||
| Syndromic Surveillance Reporting |
Exclusions
Exclusions are available for all measures except Provide Patients Electronic Access to Their Health Information and these are described in each measure summary below. Importantly, an exclusion does not grant the clinician the full point total for the measure. Instead, the associated points are reallocated elsewhere. Thus, while exclusions are good to keep in mind for instances where success is not possible, success should end up being the preferred path forward.
PI Composite Score
The PI Composite Score is the sum of all measure points in the category. A score of 100 or more would earn the clinician full credit within the PI performance category (25 points). A score of less than 100 would earn the clinician a corresponding percentage of 25 points. If a clinician’s composite score was 80, for example, they’d earn 80% of 25 points = 20.
Each link below provides a description of how the measures within that objective are accomplished.
- Protect Patient Health Information
- Electronic Prescribing
- Support Electronic Referral Loops by Sending Health Information
- Support Electronic Referral Loops by Receiving and Reconciling Health Information
- Provide Patients Electronic Access to Their Health Information
- Public Health and Clinical Data Exchange