Promoting Interoperability Scoring

In order to secure full credit towards the 25% weight of the MIPS Promoting Interoperability (PI) performance category, MIPS eligible clinicians must report on four different objectives consisting of a total of five measures for the 2019 performance year. There are two bonus point opportunities worth five points each. The maximum number of points an EC can receive in 2019 is 110 points. Please note, however, that the score is capped at 100 percent. 

The objectives and measures:

Objectives Measures Maximum Points
e-Prescribing e-Prescribing** 10 points<
Bonus: Query of Prescription Drug Monitoring Program (PDMP) 5 point bonus
Bonus: Verify Opioid Treatment Agreement 5 point bonus
Health Information Exchange Support Electronic Referral Loops by Sending Health Information**


20 points
Support Electronic Referral Loops by Receiving and Incorporating Health Information** 20 points
Provider to Patient Exchange Provide Patients Electronic Access to Their Health Information 40 points
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**


10 points

** Exclusion available.


The above table is Table 41 in the final rule.

The measures will be scored, depending on the measure, on the EC’s performance through the submission of a numerator or denominator or a “yes or no” attestation.

Please note: In order to qualify for any score, ECs must conduct or review a security risk analysis outlined in the QPP final rule. This is considered an unscored measure by CMS and is not included in the table above.

The scoring system for the PI category has changed substantially since the 2018 performance year.  

More PI Information

You can also find CMS Resources here and ASA FAQs here for all things MACRA.