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Required Test 2c - Health IT Modules Certified to (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 decrements to the numerator.
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.
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 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
Viola Gibson
1/14/1965
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 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Sarah Mckenzie
9/22/1990
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 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Jessie Pierce
2/26/1964
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 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Lance Mack
1/1/1994
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 / 1 1 / 1 0 / 0 0 / 0 0 / 0 0 / 0 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Mary Watkins
2/21/1988
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 / 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 5 / 5 5 / 5 4 / 4 4 / 4 4 / 4 4 / 4 5 / 5 5 / 5 5 / 5 5 / 5 5 / 5 5 / 5
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period 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
Sarah Mckenzie
9/22/1990
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 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Viola Gibson
1/14/1965
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 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0 -1 / 0 0 / 0
Jessie Pierce
2/26/1964
Sex: M
  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 / 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 2 / 5 5 / 5 1 / 4 4 / 4 1 / 4 4 / 4 2 / 5 5 / 5 2 / 5 5 / 5 2 / 5 5 / 5
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period 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
Dennis Fletcher
2/16/1963
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 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Lena Bryant
12/8/1992
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 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Rodney Nash
5/16/1987
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 / 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 5 / 8 8 / 8 4 / 7 7 / 7 4 / 7 7 / 7 5 / 8 8 / 8 5 / 8 8 / 8 5 / 8 8 / 8
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period 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
Rhonda Mcbride
5/23/1987
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
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Jamie Cooper
7/9/1994
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
 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1 0 / 1 1 / 1
Marc Bowman
12/18/1966
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
 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 5 / 11 11 / 11 4 / 10 10 / 10 4 / 10 10 / 10 5 / 11 11 / 11 5 / 11 11 / 11 5 / 11 11 / 11
Denominator Criteria Numerator CriteriaNumerator Criteria Results
Patient Provider Information Patient Seen During EHR Reporting Period 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
Mary Watkins
2/21/1988
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. 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 5 / 11 11 / 11 4 / 10 10 / 10 4 / 10 10 / 10 5 / 11 11 / 11 5 / 11 11 / 11 5 / 11 11 / 11