Deadline Approaching: 2018 Promoting Interoperability Small Practice Hardship Exemption Application Due December 31, 2018

Time is running out! You have until December 31, 2018, to apply for the small practice hardship exemption for the 2018 MIPS Promoting Interoperability (PI) category. 

ASCRS successfully advocated that for 2018 MIPS reporting, which impacts 2020 payment, practices of 15 or fewer Medicare-eligible clinicians may submit a hardship application and have the 25% weight of the PI category re-weighted to the Quality category. This means small and solo practices that do not have EHR will still have the opportunity to receive full credit for MIPS and be eligible for a bonus.

How to apply: 

Small practices need to take the following steps to submit the PI hardship application:

  • Access the hardship application by visiting here:
  • When asked to select the QPP Application you would like to complete, choose, “Promoting Interoperability Hardship Application” from the drop-down menu.
  • In section 2, select “Section 2.5 Small Practice.”
  • Complete the application and click, “Submit” in the bottom right corner.

Additionally, MIPS-eligible clinicians or groups may submit a PI Hardship Application if they meet the following criteria:

  • MIPS-eligible clinicians using decertified EHR technology
  • Insufficient Internet connectivity
  • Extreme and uncontrollable circumstances
  • Lack of control over the availability of CEHRT

For more information, please review the Hardship Exemption Application FAQs. If you need additional assistance, please contact Jillian Winans, regulatory affairs specialist at or 703-383-5733.