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MIPS PI Measure – E-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT.

Measure Overview

Objective: e-Prescribing

Measure: At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT.

Measure ID: PI_EP_1

Exclusion: Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period.

Exclusion ID: PI_LVPP_1

Measure Specifications

Definitions of Terms

Prescription
The authorization by a MIPS eligible clinician to a pharmacist to dispense a drug that the pharmacist would not dispense to the patient without such authorization.
Permissible Prescriptions
All drugs meeting the current definition of a prescription as the authorization by a clinician to dispense a drug that would not be dispensed without such authorization and may include electronic prescriptions of controlled substances where the creation of an electronic prescription for the medication is feasible using CEHRT and where allowable by state and local law.

Measure Reporting

Numerator/Denominator

Numerator: The number of prescriptions in the denominator generated and transmitted electronically using CEHRT.

Denominator: Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.

Measure Scoring

  • Required for Promoting Interoperability Performance Category Score: Yes
  • Measure Score: Up to 10 points
  • Eligible for Bonus Score: No

Note: In order to earn a score greater than zero for the Promoting Interoperability performance category, MIPS eligible clinicians must:

  • Complete the activities required by the Security Risk Analysis and High Priority PracticesSAFER Guide, submit their complete numerator and denominator or Yes/No data for all required measures, and attest to the Actions to limit or restrict compatibility or interoperability of CEHRT statement.
  • Failure to report at least a “1” in all required measures with a numerator or reporting a “No” for a Yes/No response measure (except for the SAFER Guides measure2) will result in a total score of 0 points for the Promoting Interoperability performance category.

Freedom | EHR Workflow

MIPS Conformance Calculation

  • Excluding Controlled Substances
  • Including Controlled Substances


Denominator
The number of prescriptions written by the provider for non-controlled substances during the performance period.

Numerator
The number of prescriptions from the denominator that are transmitted electronically.

How To
Launch Freedom | ERX for the patient and prescribe any permissible (Non-Controlled Substance) medication for the patient. Complete the prescription by signing and sending the prescription electronically to the patients’ preferred pharmacy.


Denominator
The number of prescriptions written by the provider, including controlled substances during the performance period.

Numerator
The number of prescriptions from the denominator that are transmitted electronically.

How To
Launch Freedom | ERX for the patient and prescribe any permissible or Controlled Substance medication for the patient. Complete the prescription by signing and sending the prescription electronically to the patients’ preferred pharmacy.

Launch Freedom ERX button.

Data Validation

CMS will publish guidance to help clinicians better understand the supporting documentation they should retain when attesting to the MIPS requirements. CMS calls this guidance “MIPS Data Validation Criteria” as it outlines the types of documentation that should be retained to validate the data the provider submits to CMS at the end of the performance period. You must keep documentation for six years subsequent to submission. We suggest reviewing this validation document to ensure you document your work appropriately.

2022 MIPS Data Validation Criteria

Updated on November 16, 2022

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