MACRA QPP Center

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020

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2. What are the main differences from 2018’s ACI performance category, and 2019/2020’s PI performance category?

  • In 2019, CMS tabled the Advancing Care Information (ACI) performance category and replaced it with the Promoting Interoperability (PI) performance category. Unlike the ACI category in 2018, the PI performance category does not require a base score measure. Instead, to earn points in the PI category clinicians must collect data, for a minimum of any continuous 90-day period in the performance year, on 4 major objectives: 1) e-Prescribing, 2) Health Information Exchange, 3) Provider to Patient Exchange, and 4) Public Health and Clinical Data Exchange. Furthermore, the measures associated with these objectives must be reported through CEHRT of 2015 Edition functionality. A description of these objectives and the measures associated with them can be found in the table below:
    PI Objectives and Measures
    Objective Measure Required for PI Score? Max Points Reporting Requirement Exclusion
    Protect Patient Health Information Security Risk Analytics Required 0 Yes/No Statement N/A
    (1) Electronic Prescribing e-Prescribing Required 10 Numerator / Denominator Write fewer than 100 permissible prescriptions
    Query of Prescription
    Drug Monitoring
    Program (PDMP)
    Bonus 5 Yes/No Statement (retroactive to 2019) N/A
    (2) Health Information Exchange Support Electronic Referral Loops by Receiving and Incorporating Health Information Required 20 Numerator / Denominator Transfer or refer patients fewer than 100 times
    Support Electronic Referral Loops by Sending Health Information Required 20 Numerator / Denominator
    • EC who is unable to implement measure for 2019
    • Receive fewer than 100 transitions of care or referrals, or has fewer than 100 encounters with patients never before encountered during performance year
    (3) Provider to Patient Exchange Provide Patients Electronic Access to Their Health Information Required 40 Numerator / Denominator N/A
    (4) Public Health and Clinical Data Exchange Report to two different public health agencies or clinical data registries for any of the following:
    • Immunization Registry Reporting
    • Electronic Case Reporting
    • Public Health Registry Reporting
    • Clinical Data Registry Reporting
    • Syndromic Surveillance Reporting
    Required 10 Yes/No
    Statement
    Each of these measures has their own exclusion, but general exclusion criteria include:
    • Don't diagnose/treat any disease/condition associated with applicable registry/agency in their jurisdiction
    • Operate in a jurisdiction in which no agency/registry can accept electronic registry transactions in CEHRT-specified standards
    • Operate in a jurisdiction where no agency/registry has declared readiness to receive electronic registry transactions as of 6 months prior to start of performance period
  • There are 10 total measures associated with the 4 objectives previously named (aside from the mandatory Security Risk Analysis), which make up the PI performance score. In actuality, only 6 out of the 10 must be reported to receive a PI score (one e-Prescribing measures are for bonus points, and you are only required to report 2 out of the 5 Public Health and Clinical Data Exchange measures). More information on measuring requirements can be found on PAI’s PI Category Overview.  
  • In certain circumstances you may claim an exclusion from measures under specific objectives. In this case, the scoring criteria will be reweighted, and the remaining measures you submit will have a larger impact on your overall PI performance score. See PAI’s PI Category Overview  for additional details



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