Updates to the 2018 CMS QRDA III Implementation Guide

The Centers for Medicare & Medicaid Services (CMS) has published an updated 2018 CMS Quality Reporting Document Architecture Category III (QRDA III) Implementation Guide (IG) for Eligible Clinicians and Eligible Professionals. This is an update to the 2018 CMS QRDA III IG for Eligible Clinicians and Eligible Professionals originally published on 11/27/2017 and updated previously on 3/12/2018.

This latest update includes:

• Renaming of the Merit-based Incentive Payment System (MIPS) performance category Advancing Care Information (ACI) to Promoting Interoperability (PI).
• Changes to performance period reporting:
  
  The performance period under MIPS can be reported at either of the following levels:

1. The individual measure level for the MIPS quality measures and at the individual activity level for the MIPS improvement activities (IA), as defined by CMS, or
2. The performance category level for Quality and IA performance categories, as previously specified in the 2018 CMS QRDA III IG.

• Performance period reporting for PI will remain at the performance category level only.
• Performance period reporting for Comprehensive Primary Care Plus (CPC+) for the Quality performance category remains at the category level only.
• New CMS program name code created “MIPS_VIRTUALGROUP” to support MIPS virtual group reporting.
• Eight new PI measure identifiers have been developed that indicate active engagement with more than one registries.
  The new measure identifiers consist of an existing measure identifier appended with “_MULTI”. For example, the new measure identifier “PI_PHCDRR_1_MULTI” indicates immunization registry reporting for multiple registry engagement.

Additional QRDA-Related Resources:

• You can find additional QRDA related resources, as well as current and past implementation guides, on the Electronic Clinical Quality Improvement Resource Center.
• For questions related to the QRDA Implementation Guides and/or Schematrons, visit the ONC QRDA JIRA Issue Tracker.
• For questions related to Quality Payment Program/MIPS data submissions, visit the Quality Payment Program website or contact by phone 1-866-288-8292, TTY: 1-877-715-6222 or email QPP@cms.hhs.gov.