1. What are the exemptions for the PI category? What do they mean and how are they implemented? There are two avenues of exemption for the PI category. In the first option, you qualify for automatic reweighting if you are any of the following clinicians: Ambulatory Surgical center (ASC)-based MIPS eligible clinician Hospital-based MIPS eligible clinician Non-patient facing clinician Physician assistant Nurse practitioner Clinical nurse specialist Certified registered nurse anesthetist Physical therapist Occupational therapist Qualified speech-language pathologist Qualified audiologist Clinical psychologist Registered dietitian or nutrition professional In the second option, you may receive an exclusion if you qualify for a “significant hardship.” 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 2019 MIPS final score for MIPS eligible clinicians. The 25% PI weight would be re-assigned to the quality performance category (for a total weight of 70% of the MIPS final score). The relevant significant hardships applicable to not having an EHR include: Insufficient Internet Connectivity Extreme and Uncontrollable Circumstances Lack of Control over the Availability of CEHRT MIPS eligible clinicians in small practices of 15 or fewer eligible clinicians Decertified EHR For additional information please see the PI Category Hardship and Reweighting resource. Pages MIPS Promoting Interoperability (PI)1. What are the exemptions for the PI category? What do they mean and how are they implemented?2. What are the main differences from 2018’s ACI performance category and 2019’s new PI performance category?3. How do I determined which edition of certified electronic health record technology (CEHRT) I have?4. How do I report data using my CEHRT?5. If I am reporting using the 90-day reporting period, does the security risk analysis need to be conducted during that 90-day period, or can it be conducted at any time during the performance year? Comments are closed.