2026 MIPS Promoting Interoperability PI_HIE_4: Support Electronic Referral Loops By Receiving and Reconciling Health Information
Written by Tucker Deyett, Dedicated Advisor, ReportingMD. Source data: CMS Quality Payment Program 2026 measure specifications and benchmark files.
Objective: Health Information Exchange Required
At a glance
PI_HIE_4, Support Electronic Referral Loops By Receiving and Reconciling Health Information, is a 2026 Promoting Interoperability required measure under the Health Information Exchange objective, reported as a numerator and denominator.
Measure description
For at least one electronic summary of care record received for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, or for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician conducts clinical information reconciliation for medication, medication allergy, and current problem list.
Measure details
- Measure ID: PI_HIE_4
- Objective: Health Information Exchange
- Reporting category: Required
- Metric type: Numerator/denominator
- Required: Yes
- Bonus: No
- Substitutes: PI_HIE_5, PI_HIE_6
- Exclusion of: PI_LVITC_2
- Programs: MSSP, Traditional MIPS, APP, APP Plus
- First performance year: 2019
MVPs that include this measure
Advancing Rheumatology Patient Care; Coordinating Stroke Care to Promote Prevention and Cultivate Positive Outcomes; Advancing Care for Heart Disease; Adopting Best Practices and Promoting Patient Safety within Emergency Medicine; Improving Care for Lower Extremity Joint Repair; Patient Safety and Support of Positive Experiences with Anesthesia; Advancing Cancer Care; Optimal Care for Kidney Health; Quality Care for Patients with Neurological Conditions; Value in Primary Care; Focusing on Women’s Health; Quality Care for the Treatment of Ear, Nose, and Throat Disorders; Prevention and Treatment of Infectious Disorders Including Hepatitis C and HIV; Quality Care in Mental Health and Substance Use Disorders; Rehabilitative Support for Musculoskeletal Care; Complete Ophthalmologic Care; Dermatological Care; Gastroenterology Care; Optimal Care for Patients with Urologic Conditions; Pulmonology Care; Surgical Care; Diagnostic Radiology; Interventional Radiology; Neuropsychology; Pathology; Podiatry; Vascular Surgery
Official CMS specification
Need help with PI_HIE_4?
ReportingMD is a CMS qualified registry and healthcare data pipe with a 100% submission rate since 2001. We review PI measure data and attestations with every client before submission. Talk to a ReportingMD advisor or browse the full 2026 MIPS directory.