Certified electronic health record technology (CEHRT) is required for participation in the Promoting Interoperability performance category. Under the Merit-based Incentive Payment System (MIPS), you may qualify for a re-weighting of the Promoting Interoperability performance category (to 0%) if you meet certain criteria.

Can I Apply for a Promoting Interoperability Hardship Exception?

MIPS eligible clinicians, groups, and virtual groups may submit a MIPS Promoting Interoperability Performance Category Hardship Exception Application citing one of the following specified reasons:

  • You’re a small practice
  • You have decertified EHR technology
  • You have insufficient Internet connectivity
  • You face extreme and uncontrollable circumstances such as disaster, practice closure, severe financial distress or vendor issues
  • You lack control over the availability of CEHRT

Lacking CEHRT does not qualify you for re-weighting.

NOTE: If you’re already exempt from submitting Promoting Interoperability, you don’t need to apply for this application.

How do I Apply?

Beginning with PY 2020, you will need a HCQIS Access Roles and Profile (HARP) account to submit a MIPS Promoting Interoperability Performance Category Hardship Exception Application. Once you sign into QPP with your credentials, select ‘Exceptions Application’ on the left-hand navigation and then select ‘Promoting Interoperability Hardship.’

For more information on how to obtain a HARP account, refer to the Register for a HARP Account document in the QPP Access User Guide.

PI Hardship Exception Application Window is Now Open

The Promoting Interoperability Hardship Exception Application for PY 2020 is currently open and will close December 31, 2020. Apply today.

About Author

Healthcentric Advisors
As the New England Quality Payment Program Support Center, Healthcentric Advisors assists New England-based physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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