Health Information Exchange (HIE) Bi-Directional Exchange

Measure: The MIPS ECClosed Eligible Clinician: a Medicare provider who qualifies for MIPS participation or group must attest that they engage in bi-directional exchange with an HIE to support transitions of care.
Reporting

To meet this measure, the MIPS eligible clinician must attest YES to the following:

  • I participate in an HIE in order to enable secure, bi-directional exchange to occur for every patient encounter, transition or referral, and record stored or maintained in the EHR during the performance period in accordance with applicable law and policy.
  • The HIE that I participate in is capable of exchanging information across a broad network of unaffiliated exchange partners including those using disparate EHRs, and does not engage in exclusionary behavior when determining exchange partners.
  • I use the functions of CEHRTClosed Certified EHR Technology, an EHR that conforms to the ONC's Health IT Certification Program criteria and standards to support bi-directional exchange with an HIE.

The Health Information Exchange (HIE) Bi-Directional Exchange measure is an alternative to attesting to the Support Electronic Referral Loops by Sending Health Information and the Support Electronic Referral Loops by Receiving and Reconciling Health Information measures. Attestation to this measure is optional.

ECs interested in participating in an HIE should contact Sevocity Support to begin the process of a new interface setup. Interface setup requirements and fees vary per request.

CMS defines a transition of care as the movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory, specialty care practice, long-term care, home health, rehabilitation facility) to another. At a minimum, this includes all transitions of care and referrals that are ordered by the MIPS eligible clinician.

In order to receive credit for this measure, the EC must be connected to an HIE and exchanging data as specified by the attestation statements for the performance period reported. Credit will not be given to ECs that are in the process of establishing these connections.

Return to 2021 MIPS Promoting Interoperability Measures

 

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