EHR Meaningful Use & MIPS Requirements 5 — Questions and Answers
Question 1: Which Promoting Interoperability measure requires clinicians to query a health information exchange (HIE) or use a record locator service for patient records?
- Send a Summary of Care
- Query of Prescription Drug Monitoring Program (PDMP)
- Health Information Exchange (HIE) Bi-directional Exchange (Correct answer)
- Immunization Registry Reporting
Correct answer: Health Information Exchange (HIE) Bi-directional Exchange
The HIE Bi-directional Exchange measure requires clinicians to both send and receive patient health information through a qualified HIE or health information network.
Question 2: Under MIPS, what is the 'exceptional performance' bonus designed to reward?
- Clinicians who submit data in all four performance categories
- Clinicians who score above a higher threshold set above the standard performance threshold (Correct answer)
- Clinicians who participate in an Advanced APM
- Clinicians who have zero adverse events during the performance year
Correct answer: Clinicians who score above a higher threshold set above the standard performance threshold
The exceptional performance bonus provides additional payment to clinicians who score above the exceptional performance threshold, which is set higher than the standard performance threshold.
Question 3: A hospital wants to attest to Meaningful Use for its eligible hospitals. Which CMS program handles their attestation separately from eligible professionals?
- Medicaid EHR Incentive Program only
- Medicare EHR Incentive Program for Eligible Hospitals (Correct answer)
- MIPS Hospital Track
- CHIP EHR Program
Correct answer: Medicare EHR Incentive Program for Eligible Hospitals
Eligible hospitals (EHs) attest to Meaningful Use through the Medicare EHR Incentive Program for Eligible Hospitals, which has separate objectives and measures from the Eligible Professional track.
Question 4: What does the 'Computerized Provider Order Entry' (CPOE) objective primarily aim to reduce?
- Patient wait times
- Medication errors and adverse drug events (Correct answer)
- Administrative billing errors
- Duplicate laboratory tests
Correct answer: Medication errors and adverse drug events
CPOE is primarily designed to reduce medication errors and adverse drug events by allowing providers to enter orders electronically with built-in safety checks.
Question 5: Which of the following is an example of a 'facility-based' MIPS scoring option?
- Reporting quality measures through a qualified registry
- Using hospital value-based purchasing scores as a proxy for a clinician's MIPS Quality and Cost performance (Correct answer)
- Submitting improvement activities through a PCMH designation
- Reporting Promoting Interoperability measures via direct EHR submission
Correct answer: Using hospital value-based purchasing scores as a proxy for a clinician's MIPS Quality and Cost performance
Facility-based scoring allows eligible clinicians who predominantly provide services in a hospital setting to use the hospital's Value-Based Purchasing (VBP) program scores for their MIPS Quality and Cost categories.
Question 6: Under Meaningful Use, what is a 'Summary of Care' document required to include?
- Only the patient's medication list
- Patient demographics, problem list, medications, allergies, and lab results at minimum (Correct answer)
- Full hospital admission notes and discharge summaries
- Insurance and billing information only
Correct answer: Patient demographics, problem list, medications, allergies, and lab results at minimum
A Meaningful Use Summary of Care (typically a CCD or C-CDA) must include at minimum patient demographics, diagnoses, medications, allergies, and relevant laboratory results.
Question 7: What is the maximum negative payment adjustment a MIPS-eligible clinician can receive for poor performance in 2026 payment year?
- -2%
- -4%
- -9% (Correct answer)
- -15%
Correct answer: -9%
The maximum negative payment adjustment under MIPS is -9% of Medicare Part B payments for clinicians who score below the performance threshold.
EHR Meaningful Use & MIPS Requirements 5
Which Promoting Interoperability measure requires clinicians to query a health information exchange (HIE) or use a record locator service for patient records?