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        ^{Consortium for Universal Health System Metrics -      A CMS Qualified Registry}

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Summary of CMS reporting system

QPP is CMS's system to assess healthcare eligible providers (EP) -

1. QPP = Physician Quality Reporting Service
2. EP includes MD, DO, NP, PA, RN, among other healthcare professionals identified by NPI
3. EP's submissions are identified by NPI - National Provider Index, and TIN of reporting organization
4. QPP will initially reward EPs ~$5B for compliance (1) and
5. QPP will penalize EPs ~$10B (2%) for non-compliance (1) , and
6. Penalties increase annually.  Incentives disappear after first two years.
7. Over time, QPP reporting methods will increase breadth and depth of assessment process.
8. Specialized HIT (health IT) will be necessary to fulfill QPP mandates.
9. QPP is legislated, in final rule, implemented and documented - search via keywords CMS QPP QCDR.

 
 QPP submission methods 

1 - "PQRI (QPP predecessor) Claims" - 2007

Eligible providers (EP) adds QDC (quality data codes) to CMS Part B bills &
Submits annual QDC compilation Claims submission to CMS

2 - "QPP Registry" - 2008

EP annually reviews charts of relevant patient population(s),
Send chart summaries to Registry,
Registry compiles & sends composite Registry submission to CMS

3 -  "QPP EHR" - 2012

EP's computer (EMR/EHR...) compiles QPP electronic chart summaries for relevant patient population(s)
EP's computer sends EHR submission to CMS 

4 -  "QPP DSV" - 2012 - DSV - Data Service vendor

EP's computer (EMR/EHR...) exports raw electronic clinical data for relevant patient population(s)
EP's computer sends raw clinical data to DSV
DSV compiles electronic chart summaries into QPP format 
EP's computer sends DSV submissions to CMS 

5 - "QPP QCDR" -2014 - "Qualified Clinical Data Registry"

Have EP computer deliver summary electronic chart summaries to QCDR (usually a Medical Society)
QCDR compiles composite report,
QCDR reviews & sends composite QCDR submission to CMS
 

1. See other pages for online references
   
   http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QPP/index.html
   
   http://www.njhitec.org/QPP/submission-methods/
   
    

(1) Incentive reward from CMS occurs during the reporting current , Penalty/disincentirve occurs TWO years after reporting year

year http://www.successehs.com/item/how-to-choose-a-QPP-submission-method.htm
 

>  Our CMS Submission Private Cloud has generated 2012 QPP and eRX reports
          that have achieved the following:    

           All QPP and eRX reports were fully vetted by CMS

           Our fully functional CMS report subsystems have delivered results
                       to Qualified CMS Closed Data Service Vendors

           We have met tight deadlines.  (QPP report generator development time: 3 months)

           We successfully integrated our processes with the client's IT infrastructure

           We minimize the burden to providers through efficient data migration

           We achieved maximum efficiency by applying staged data validation and vetting processes.    

CUHSM QCDR Measures approved by CMS - Non QPP Program - Patient Adherence Measures
• 2014 • 2015 • 2016 • 2017 • 2018 • 2019 • 2017_07_Non_Compliance_letter • 2017_QCDRbenchmarks •

For more information, contact us via email at clientservices@cuhsm.org

Phone:  (888) 979-2499 x2

Universal Health System Metric Tools referenced on this site:
CMS Submission Toolkit, CST-CMS Submission Template, PQRS Audit Tool, PQRS Validator, GPRO Aggregator,
    QCDR-HISP, QRDASolutions, and NwHIN Sleuth are trademarks of CMS Gateways, LLC
All other products mentioned are registered trademarks or trademarks of their respective companies.

QCDR-HISP = Qualified Clinical Data Registry - Health Information Service Provider

Questions or problems regarding technical problems for this web site should be directed to webmaster@cuhsm.org
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Last modified: Tuesday November 10, 2020.