2019 MIPS exemption!
For small (<15 "Eligible Clinicians") practices, you may choose to exempt from Promoting Interoperability (PI, or Meaningful Use) and move those 25 points to Quality measures for 2019.
The hardship exception application is simple:
MIPS > Reporting > Reporting Factors Overview > Exception Applications
Click Apply in the "PI Hardship Exception Application Window is Now Open" green-backgrounded rectangle.
Choose Group or Individual, then complete the rest of the fields. Then, rather quickly for a huge government program, the provider should receive an e-mail confirmation of your approved application. Boom, now your existing Quality efforts through 2019 are now providing you more bang!