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MIPS - Promoting Interoperability

Electronic Prescribing
Posted: December 25, 2018


Use of e-Prescribing technology is at the core of the promoting interoperability program to assure that the transmission of medication orders and prescriptions from provider to fulfiller are delivered accurately and in a timely manner.

PI Objective and Calculation

The objective is to generate and transmit permissible prescriptions electronically (eRx).


  • At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.

Denominator for calculation:  Number of prescriptions written for drugs requiring a prescription in order to be dispensed during the EHR reporting period.

Numerator for calculation:  Number of prescriptions in denominator that are generated, queried for a drug formulary, and transmitted electronically.


  • Any MIPS eligible clinician who writes fewer than 100 permissible prescriptions during the performance period.


In the event an exclusion is claimed for this measure, the 10 point value is shifted as follows:

  • 5 points moved to Support Electronic Referral Loops by Sending Health Information
  • 5 points moved to Support Electronic Referral Loops by Receiving and Incorporation Health Information

Promoting Interoperability Discussion

One of the earliest EHR technologies to undergo development and national interconnectivity was e-Prescribing.  The primary objectives of e-Prescribing systems were the reduction of errors and duplications.  Prior to the increased adoption of EHR technology for clinical patient care, stand-alone e-Prescribing software solutions were available for health care providers.  Today, many of those systems have become full-fledged EHR systems or have become tightly integrated into EHR systems.

RevolutionEHR users have the choice of becoming customers of RxNT, our e-Prescribing partner, to gain access to an integrated e-Prescribing process.  The cost of being an e-Prescriber can be offset by the workflow efficiencies in creating and delivering prescriptions for patients.

To e-Prescribe with RxNT, RevolutionEHR users can click the “Launch RxNT” button on the patient encounter Medication screen or in the Rx component.  That process delivers RxNT with the necessary patient ID information and provider details necessary to start the prescription.  Upon completion of the e-Prescribing process, RxNT passes back the Rx detail information for display in RevolutionEHR.

Alternately, users have the option of engaging with a different electronic prescribing software with the understandings that: 1) the eRx system is certified, and 2) that the numerator will need to be manually tracked by the user for entry during attestation.

Official CMS Fact Sheet


Using RevolutionEHR and RxNT’s integrated e-Prescribing offering, satisfaction of this objective should be easy.





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Updates Prior to 2018