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Qualified Posting Review Instructions
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1. This file is a final version of your organization's Qualified Clinical Data Registry (QCDR) qualified posting. This posting was created using information found in the Self-Nomination form on the Qualified Payment Program (QPP) website. Please review and ensure all information is accurate. If any errors or edits are required, please make the edits directly in the document.
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2. If no edits are needed, please provide approval of the posting to the Merit-Based Incentive Payment System (MIPS) QCDR/Registry Support Team (PIMMS Team) in the Self-Nomination form on the QPP website by checking the approval box at the bottom of the 'Qualified Posting' tab and leaving a comment NO LATER THAN 5 p.m. Eastern Time (ET) on 12/06/2023.
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3. Some fields require specific formatting and terminology to maintain consistency throughout the posting (please see below). If you need to make edits to the fields listed below, please follow the corresponding directions below if edits are required in these fields.
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4. Once edits are made, please notify the PIMMS Team in the Self-Nomination form on the QPP website by both a comment and attaching the updated file as an attachment including the version at the end of the file name. Please make sure to upload your file to the 'Qualified Posting' tab and not in the comment. Edits are due NO LATER THAN 5 p.m. ET on 12/6/2023.
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Fields for review
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QCDR Name (Column A): Free text field provided by the QCDR in the Self-Nomination form on the QPP website.
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Remedial Action/Terminated as Third Party Intermediary (Column B): Years of remedial action and/or termination are included based on compliance history tracked by the PIMMS Team. This cannot be changed or removed.
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Organization Type (Column C): Provided by the QCDR in the Self-Nomination form on the QPP website. Acceptable entries – Collaborative, Health Information Exchange/Regional Health Information Organization, Health Information Technology (IT) Vendor, Regional Health Collaborative, Specialty Society, Other.
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Specialty (Column D): Free text field provided by the QCDR in the Self-Nomination form on the QPP website.
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New QCDR/Years QCDR Previously Participated in MIPS (Column E): Either New QCDR or Years of participation in MIPS provided by QCDR in the Self-Nomination form on the QPP website and verified by the PIMMS Team.
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Contact Information (Column F): Free text field provided by the QCDR in the Self-Nomination form on the QPP website.
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Website (Column G): Free text field provided by the QCDR in the Self-Nomination form on the QPP website (please test hyperlink for accuracy).
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Cost (Column H): Free text field provided by the QCDR in the Self-Nomination form on the QPP website.
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Services Offered (Column I): Free text field provided by the QCDR in the Self-Nomination form on the QPP website.
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Last Date to Accept New Clients for 2024 MIPS Performance Period (Column J): Date (MM/DD/YYYY) provided by the QCDR in the Self-Nomination form on the QPP website.
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Reporting Option(s) Supported (Column K): Provided by the QCDR in the Self-Nomination form on the QPP website. Acceptable entries - Traditional MIPS, APM Performance Pathway (APP), and/or MIPS Value Pathways (MVPs).
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Participation Option(s) Supported (Column L): Provided by the QCDR in the Self-Nomination form on the QPP website. Acceptable entries – MIPS eligible clinician, group, virtual group, subgroup, or Alternative Payment Model (APM) Entity.
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Virtual Group Specialty Parameters (if applicable) (Column M): Free text field provided by the QCDR in the Self-Nomination form on the QPP website.
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Improvement Activities Supported (Column N): Provided by the QCDR in the Self-Nomination form on the QPP website. Please ensure all supported improvement activities are listed. Note, your organization may have improvement activities removed based on the anticipated activities proposed in the Calendar Year (CY) 2024 Medicare Physician Fee Schedule Proposed Rule. Please let us know if you would like to add any of the proposed improvement activities pending the CY 2024 Medicare Physician Fee Schedule Final Rule.
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Promoting Interoperability Measures Supported (Column O): Provided by the QCDR in the Self-Nomination form on the QPP website. Please ensure all supported Promoting Interoperability measures are listed. Please let us know if you would like to add any of the Promoting Interoperability measures found in the CY 2024 Medicare Physician Fee Schedule Final Rule.
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MIPS Clinical Quality Measures (CQMs) Supported (Column P): Provided by the QCDR in the Self-Nomination form on the QPP website. Please ensure all supported MIPS CQMs are listed. Please let us know if you would like to add any of the MIPS CQMs found in the CY 2024 Medicare Physician Fee Schedule Final Rule.
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MIPS Electronic Clinical Quality Measures (eCQMs) Supported (Column Q): Provided by the QCDR in the Self-Nomination form on the QPP website. Please ensure all supported MIPS eCQMs are listed. Please let us know if you would like to add any of the MIPS eCQMs found in the CY 2024 Medicare Physician Fee Schedule Final Rule.
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MIPS Value Pathways (MVPs) Supported (Column R): Provided by the QCDR in the Self-Nomination form on the QPP website. Please ensure all supported MVPs are listed. Please let us know if you would like to add any of the MVPs found in the CY 2024 Medicare Physician Fee Schedule Final Rule.
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QCDR Measures Supported (Column S): Provided by the QCDR in the Self-Nomination form on the QPP website. Your approved QCDR Measure Titles have been added to this field. If you have borrowed measures, these titles reflect what has been finalized with the measure owner.
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Disclaimer: Quality measures, Promoting Interoperobility measures and improvement activities are reflective of only those supported by approved 2024 QCDRs and is considered accurate at the time of publication of this document. To view the full listing of measures and activities, please consult the CY 2024 Medicare Physician Fee Schedule Final Rule in the "Regulatory Resources" section of the Quality Payment Program website's Resource Library at https://qpp.cms.gov/about/resource-library. CMS cannot guarantee a clinician's success in providing data for the program. Successful submission is contingent upon following the MIPS program requirements: the timeliness, quality, and accuracy of the data provided for reporting by the MIPS eligible clinician, group, virtual group, subgroup, or APM Entity, inclusive of voluntary and opt-in participants and the timeliness, quality, and accuracy of the QCDR.
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