NextGen Office- Promoting Interoperability- MIPS Performance Category

NextGen office MIPS

Promoting Interoperability is one of the four MIPS performance categories. 

 Reminder: Enroll in Quality measures in NextGen Office Administration: EHR Reporting and Quality Measures or within the NextGen Office MIPS Dashboard – Quality page.


Quality Payment Program Resource

Promoting Interoperability Requirements

2021 Performance Year Requirements

  • Performance period: 90 continuous days or more
  • Submit data for certain measures from each of the four objectives (unless exclusion is claimed).
  • In addition to submitting measures, clinicians must attest Yes to all of the following:
    • Prevention of Information Blocking Attestation
    • ONC Direct Review Attestation
    • Security Risk Analysis measure



  • Weight of final score: 25%
  • Each measure is scored based on clinician performance by multiplying the performance rate (calculated from the submitted numerator and denominator) by the available points for the measure.
  • Public Health and Clinical Data Exchange measures are awarded full points if Yes is submitted for two registries or one Yes and one exclusion.
  • Must report on all required measures (submit a Yes/report at least 1 patient in the numerator, as applicable, or claim an exclusion) or earn a 0 for the PI performance category.
  • If exclusions are claimed, the points for those measures are reallocated to other measures.
  • Can earn 10 bonus points for attesting Yes to the optional Query of Prescription Drug Monitoring (PDMP) measure.


Hardship Exceptions

  • May submit a Promoting Interoperability Hardship Exception Application for reasons such as small practice status or extreme and uncontrollable circumstances.
  • An approved hardship exception means that the PI performance category receives 0 weight in calculating your final score and the 25% is redistributed to another performance category (or categories) unless you submit PI data.


MIPS Promoting Interoperability Objectives and Measures

For the objective's measure paper, click the Objective name below.


Objective Measure Measure Description
e-Prescribing Measure 1: e-Prescribing
Measure 2: Query of Prescription Drug Monitoring Program (PDMP)
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Query of Prescription Drug Monitoring Program (PDMP) (optional): 
For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law.
Health Information Exchange Measure 1: Support Electronic Referral Loops by Sending Health Information
Measure 2: Support Electronic Referral Loops by Receiving and Reconciling Health Information

Alternative Reporting Option: Health Information Exchange (HIE) Bidirectional Exchange
Support Electronic Referral Loops by Sending Health Information 
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider:
  • Creates a summary of care record using certified electronic health record technology (CEHRT); AND
  • Electronically exchanges the summary of care record
Support Electronic Referral Loops by Receiving and Reconciling Health Information
For at least one electronic summary of care record received for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, or for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician conducts clinical information reconciliation for medication, medication allergy, and current problem list.

Health Information Exchange (HIE) Bidirectional Exchange: The MIPS eligible clinician or group must attest that they engage in bidirectional exchange with an HIE to support transitions of care.
Provider to Patient Exchange Provide Patients Electronic Access to Their Health Information For at least one unique patient seen by the MIPS eligible clinician: 
  • The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; 
  • The MIPS eligible clinician ensures the patient’s health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programming Interface (API) in the MIPS eligible clinician’s CEHRT.
Protect Patient Health Information Security Risk Analysis Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by CEHRT in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician’s risk management process.
Public Health and Clinical Data Exchange Measure 1: Immunization Registry Reporting
Measure 2: Syndromic Surveillance Reporting
Measure 3: Electronic Case Reporting
Measure 4: Public Health Registry Reporting
Measure 5: Clinical Data Registry Reporting
The MIPS eligible clinician (EC) is in active engagement with a public health agency (PHA) or clinical data registry to submit electronic public health data in a meaningful way using certified EHR technology except where prohibited, and in accordance with applicable law and practice. 


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