A qualified clinical data registry (QCDR) is a reporting mechanism available for PQRS individual eligible professionals (EPs) in 2016. A QCDR will complete the collection and submission of PQRS quality measures data on behalf of EPs. A QCDR is a CMS-approved entity (such as a registry, certification board, collaborative, etc.) that collects medical and/or clinical data for the purpose of patient and disease tracking to foster improvement in the quality of care provided to patients.
EPs who satisfactorily participate in 2016 PQRS through a QCDR may avoid the 2018 payment adjustment (2.0%). To be considered a QCDR for purposes of PQRS, an entity must self-nominate and successfully complete a qualification process.
The data submitted to CMS via a QCDR covers quality measures across multiple payers and is not limited to Medicare beneficiaries. A QCDR is different from a qualified registry in that it is not limited to measures within PQRS. A QCDR may submit measures from one or more of the following categories with a maximum of 30 non-PQRS measures allowed:
• Clinician & Group Consumer Assessment of Healthcare Providers and Systems (CAHPS)
• National Quality Forum (NQF)-endorsed measures
• Current 2016 PQRS
• Measures used by boards or specialty societies, and
• Measures used by regional quality collaborations
The QCDR reporting option is only available to individual EPs and is not available to group practices participating in PQRS under the Group Practice Reporting Option (GPRO).
See the PQRS
QCDR webpage for
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