Maximizing Your Promoting Interoperability Points in MIPS 2025

The Promoting Interoperability (PI) category remains a major opportunity to maximize your MIPS Composite Performance Score (CPS) in 2025 — if you know where to focus.
At Chirpy Bird, we help practices and ACOs take full advantage of the Promoting Interoperability measures while avoiding common pitfalls like missing critical requirements such as the Security Risk Assessment (SRA) and SAFER Guides.

In this blog, we’ll break down the 2025 Promoting Interoperability objectives, required measures, and key strategies you can use to stay organized and successful — all year long.

Core Promoting Interoperability Objectives and Measures for 2025

Clinicians must report on the following PI objectives to earn points. Partial or missing reporting can severely impact your final MIPS score.

1. Electronic Prescribing

• Required Measures:

  • e-Prescribing

  • Query of Prescription Drug Monitoring Program (PDMP)

Tip: Ensure your EHR is certified for electronic prescribing and that your workflows encourage using PDMPs when appropriate.

2. Health Information Exchange (HIE)

• Required Measures:

  • Support Electronic Referral Loops by Sending Health Information and

  • Support Electronic Referral Loops by Receiving and Reconciling Health Information or

  • Option: Health Information Exchange (HIE) or

  • Option: Participation in a Trusted Exchange Framework and Common Agreement (TEFCA)

Tip: Focus on streamlining referrals with one of these three methods! Practices that show robust bi-directional data sharing get stronger HIE measure scores.

3. Provider to Patient Exchange

• Required Measure:

  • Provide Patients Electronic Access to Their Health Information

Tip: Boost your scores by proactively encouraging portal enrollment during check-in or checkout. Staff education makes a difference!

4. Public Health and Clinical Data Exchange

• Required Measures:

  • Immunization Registry Reporting

  • Electronic Case Reporting

  • (Optional bonus: Other public health registries if available)

Tip: Set up automated EHR reporting to state registries early to avoid last-minute technical issues.

Critical Compliance Requirements Often Missed

Security Risk Assessment (SRA)

Completing an annual Security Risk Assessment is mandatory for Promoting Interoperability attestation.
An incomplete or missing SRA can invalidate your entire PI score, even if all other measures are perfect.

• Assess threats to electronic protected health information (ePHI)

• Update mitigation plans

• Document remediation activities

Pro Tip: Perform your 2025 SRA no later than October to allow time for any needed corrections.

SAFER Guides

Starting in 2023 and continuing into 2025, CMS expects practices to complete and attest to conducting an annual review of the Safety Assurance Factors for EHR Resilience (SAFER) Guides.

• Conduct a SAFER Guide self-assessment

• Identify vulnerabilities related to EHR safety

• Document improvement actions

Pro Tip: Integrate your SAFER Guide review with your SRA schedule for efficiency.

Stay Organized: Month-by-Month MIPS Success

To avoid a stressful end-of-year scramble, Chirpy Bird recommends building a Promoting Interoperability Action Calendar tied to key milestones.
Download our Month-by-Month MIPS eBook to get a checklist that keeps your team on track with small, manageable steps.

Learn More: Watch Our On-Demand 2025 PI Strategy Webinar

We recently hosted a webinar, "Maximizing Your Promoting Interoperability Points in MIPS 2025", covering insider strategies for small practices, large ACOs, and everything in between.

▶️ Watch the 2025 PI Webinar Replay

Ready to Maximize Your Score?

Chirpy Bird, Inc. offers:

• Pay-as-you-go MIPS Program Support to help your ACO or Medical Practice Succeed in the QPP Payment Program Paths

• Security Risk Analysis support

• SAFER Guide strategy

• Promoting Interoperability optimization

Contact us today to schedule a Promoting Interoperability Strategy Session and soar through MIPS 2025!