Can I participate in MIPS without an EHR?
The Promoting Interoperability performance category factors in meaningful use of a certified EHR for points calculation. An eligible clinician may still be able to participate in MIPS without an EHR, but will not be able to score any points in the this category. In that case, the weighting from the Promoting Interoperability performance category shifts to the Quality performance category. In lieu of a natural disaster, the clinician must submit application to the Centers for Medicare & Medicaid Services (qpp.cms.gov) for exemption for this to occur.