Last Test (RT 1 ePrescribing) Next Test (RT 2b Provider Patient Exchange)

Required Test 2a - Health IT Modules Certified to (e) (1) and, (g)(9) or (g)(10)


Program Name: Merit-based Incentive Payment System (MIPS) Promoting Interoperability Performance Category Measure
Measure Objective: Provider To Patient Exchange
2023/2024 Promoting Interoperability Measure: Provide Patients Electronic Access to Their Health Information:For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).

Notes:

1: A patient seen during the reporting period with the numerator already populated and recorded will not increment the denominator and will not increment and re-record the numerator.
2: A patient seen during the reporting period who receives access at the first encounter and does not receive access at the second, or subsequent, encounters will populate and record the numerator at the first encounter and will decrement the numerator for the first subsequent visit, in which the required data is not provided within the required time period.
3: A patient seen during the reporting period who does not receive access at the first encounter and does receive access at the second, or subsequent, encounters will not populate and record the numerator for the first or any subsequent visits.
4: If a Health IT Module automatically and simultaneously makes patient data available to both View, Download, and Transmit health information and available to an API, it is at the discretion of the ONC-ATL not to test the scenarios where it is assumed that this is not automatic for each method.
5: Patients seen multiple times during the reporting period will not increment the denominator after the initial visit.
6: Scenario 2 tests appropriate increments and decrements to the numerator. The numerator may not increment or record for the provided test cases, however, each case tests proper numerator behavior.
7: Test data supply: ONC and Vendor-supplied. ONC provides the Test Data Scenarios and parameters; the Vendor supplies the patient visit, clinical information, and Ambulatory and Inpatient summaries (or Inpatient Summary of Care).
8: The Promoting Interoperability Measure requires that a patient have access to both view online, download, and transmit to a third party AND have the data available via an API in an EP/EC's CEHRT. Please see the Certification Companion Guide for more information on the requirement for testing and attestation requirements. Required Test 2a tests both methods for Promoting Interoperability only.
9: The name of this measure changed from Patient Electronic Access to Health Information to Provide Patients Electronic Access to Their Health Information. No other changes were made to the test data.

Scenarios:

Show/Hide Discretionary Steps

More information can be found in Note 4
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) Patient Health Information is Available to Access via API within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Vicki Boyd
6/7/1994
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Pauline Lamb
12/24/1986
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Roberta Cox
9/13/1989
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Alberto Vaughn
7/10/1993
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. Not Seen
  3. Not Seen
  4. First encounter
  1. Yes
  2. No
  3. No
  4. Yes
  1. No
  2. No
  3. No
  4. Yes
 0 / 1 1 / 1 0 / 0 0 / 0 0 / 0 0 / 0 1 / 1 1 / 1 0 / 1 1 / 1 1 / 1 1 / 1
Beverly Wong
5/11/2001
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. No
  3. Yes
  4. No
  1. Yes
  2. No
  3. Yes
  4. No
 1 / 1 1 / 1 0 / 1 1 / 1 1 / 1 1 / 1 0 / 1 1 / 1 1 / 1 1 / 1 0 / 1 1 / 1
Cumulative Total 4 / 5 5 / 5 3 / 4 4 / 4 4 / 4 4 / 4 4 / 5 5 / 5 4 / 5 5 / 5 4 / 5 5 / 5
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) Patient Health Information is Available to Access via API within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Pauline Lamb
12/24/1986
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Second encounter
  3. Second encounter
  4. Second encounter
  1. No
  2. No
  3. No
  4. No
  1. Yes
  2. No
  3. No
  4. No
 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Vicki Boyd
6/7/1994
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Second encounter
  3. Second encounter
  4. Second encounter
  1. No
  2. No
  3. No
  4. No
  1. No
  2. No
  3. No
  4. No
 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Roberta Cox
9/13/1989
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Second encounter
  3. Second encounter
  4. Second encounter
  1. No
  2. No
  3. No
  4. No
  1. Yes
  2. No
  3. No
  4. No
 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Cumulative Total 1 / 5 5 / 5 0 / 4 4 / 4 1 / 4 4 / 4 1 / 5 5 / 5 1 / 5 5 / 5 1 / 5 5 / 5
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) Patient Health Information is Available to Access via API within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Leo Pena
3/23/1982
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Glenda Guerrero
7/14/1993
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Joe Graves
1/28/1991
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. Yes
  2. Yes
  3. Yes
  4. Yes
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Cumulative Total 4 / 8 8 / 8 3 / 7 7 / 7 4 / 7 7 / 7 4 / 8 8 / 8 4 / 8 8 / 8 4 / 8 8 / 8
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) Patient Health Information is Available to Access via API within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Katie Long
2/6/1991
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. No
  2. No
  3. No
  4. No
  1. No
  2. No
  3. No
  4. No
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Randall Johnston
10/27/1985
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. No
  2. No
  3. No
  4. No
  1. Yes
  2. Yes
  3. Yes
  4. Yes
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Fred Christensen
9/5/1981
Sex: M
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. First encounter
  2. First encounter
  3. First encounter
  4. First encounter
  1. No
  2. No
  3. No
  4. No
  1. No
  2. No
  3. No
  4. No
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Cumulative Total 4 / 11 11 / 11 3 / 10 10 / 10 4 / 10 10 / 10 4 / 11 11 / 11 4 / 11 11 / 11 4 / 11 11 / 11
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period Patient or Authorized Representative Provided Access to View, Download, and Transmit Their Health Information within 4 business days (MIPS) Patient Health Information is Available to Access via API within 4 business days (MIPS) TIN A / Provider 1 TIN B / Provider 1 TIN A / Provider 2 TIN B / Provider 2 Group / TIN A Group / TIN B
Beverly Wong
5/11/2001
Sex: F
  1. TIN A/Provider 1
  2. TIN B/Provider 1
  3. TIN A/Provider 2
  4. TIN B/Provider 2
  1. Second encounter
  2. Not Seen
  3. Not Seen
  4. Second encounter
  1. Yes
  2. No
  3. No
  4. No
  1. Yes
  2. No
  3. No
  4. Yes
 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
Cumulative Total 4 / 11 11 / 11 3 / 10 10 / 10 4 / 10 10 / 10 4 / 11 11 / 11 4 / 11 11 / 11 4 / 11 11 / 11