Skip to main content
Kareo and PatientPop are now Tebra. Becoming Tebra will take time and we appreciate your patience as we transition to the new brand experience.Learn More
Tebra Help Center

Promoting Interoperability

Updated: 05/21/2024|Views: 18700

25% of Final Score

Clinicians are required to use an ONC Certified Electronic Health Record (CEHRT) to meet the requirements of the Promoting Interoperability category of Traditional MIPS. All measures in this category must be reported for a minimum of 180  days, unless an applicable exclusion is claimed.

Clinicians who have special status designations are exempt from reporting Promoting Interoperability data for the 2024 Performance Year. Clinicals who are clinical social workers, ambulatory surgical center (ASC)-based, hospital-based, non-patient facing, and small practice will have the available points from the PI Category automatically reweighed to other categories.  If any data is submitted for Promoting Interoperability it will automatically remove the reweighing and score the clinician for the submitted data.

Beginning with the 2024 performance year, the following clinician will no longer be automatically reweighted and are therefore required to report Promoting Interoperability data:

  • Physical therapists
  • Occupational therapists
  • Qualified speech-language pathologists
  • Qualified audiologists
  • Clinical psychologists
  • Registered dieticians or nutrition professionals.

2024 Promoting Interoperability Objectives and Measures

Objective *Measures Maximum Points
e-Prescribing (eRX) e-Prescribing 10 points
Query of PDMP 10 points
Health Information Exchange (HIE) Option 1:
  • Support Electronic Referral Loops by Sending Health Information
  • Support Electronic Referral Loops by Receiving & Reconciling Health Information
15 points each
Option 2:
  • HIE Bi-Directional Exchange (currently not supported by Tebra)
30 points
Option 3:
  • Enabling Exchange under TEFCA (currently not supported by Tebra)
30 points
Provider to Patient Exchange Provide Patients Electronic Access to their Health Information 25 points
Public Health and Clinical Data Exchange Report to both registries:
  • Immunization Registry Reporting
  • Electronic Case Reporting
25 points
Option to report one of the following Public Health Agency or clinical data registry measures:
  • Public Health Registry Reporting, OR
  • Clinical Data Registry Reporting, OR
  • Syndromic Surveillance Reporting
5 bonus points
Protect Patient Health Information A Security Risk Assessment is mandatory, but will not be scored. However, failure to complete will rate the entire Promoting Interoperability performance category as a zero (0). A response of Yes or No is required. Mandatory
A High Priority Practice SAFER Assessment is mandatory, but will not be scored. 

However, failure to complete will rate the entire Promoting Interoperability performance category as a zero (0). A response of Yes or No is required.


The score is capped at 100 points, at which point a clinician achieves full credit for the PI category (25%). There are no thresholds to meet, instead eligible clinicians earn points based on their performance in the following measures:

*Exclusions are available for multiple measures. Review each guide to determine if an exclusion applies to the eligible clinician. Or, from the Medicare Promoting Interoperability dashboard, click the Claim Exclusions button and review each available exclusion.  Select the exclusions the clinician is eligible for.

In addition to submitting measures during the MIPS attestation, clinicians must provide their EHR’s CMS Certification number Tebra CEHRT ID, and submit “yes” to:

  • Prevention of Information Blocking Attestation;
  • The ONC Direct Review Attestation;
  • Security risk analysis measure; and
  • The High Priority Practice SAFER Assessment(a "no" will also satisfy this measure)

Learn more about the MIPS Promoting Interoperability Dashboard.