Medicare QPP

Physicians Advocacy Institute

These resources have not been updated since 2023 but the general details remain relevant. For a summary of the key changes for CY 2024, please click here.

Frequently Asked Questions Updated for 2023


2. Is it possible for those practices without CEHRT to apply for a hardship exemption?

  1. CMS has defined criteria for physicians and practices to apply for a “significant hardship” which would re-weight the Promoting Interoperability (PI) category to 0% of the 2023 MIPS final score for MIPS eligible clinicians. The 25% PI weight would be re-assigned to another performance category (or categories).

    The relevant significant hardships applicable to not having CEHRT include:

    1. Insufficient Internet Connectivity
    2. Extreme and Uncontrollable Circumstances
    3. Lack of Control over the Availability of CEHRT
    4. Decertified EHR

    To learn more about the hardship criteria, please see the PI Hardship Reweighting resource.

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