Health Information Exchange (HIE) Bi-Directional Exchange

Updated June 8, 2026 2 minute read

Measure: The MIPS EC 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 CEHRT 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.

What is a Transition of Care?

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.

Additional Information

Successfully attesting to the measure may include enabling the ability to query for or receive health information for all new and existing patients seen by the MIPS eligible clinician, as well as enabling sending or sharing information for all new and existing patients seen by the MIPS eligible clinician.
Exchange networks that would not support attestation to the second attestation statement would include exchange networks that only support information exchange between affiliated entities, such as networks that only connect health care providers within a single health system, or networks that only facilitate sharing between health care providers that use the same EHR vendor.
A MIPS eligible clinician attesting to the third statement would not be required to use all of the certified health IT modules identified as relevant to the measure to support their connection with an HIE, nor must a connection with an HIE be solely based on certified health IT modules.

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