CMS QRDA I Conformance Statement Resource Update

December 4, 2017 - 10:55am

Effective on December 1, 2017, the Centers for Medicare & Medicaid Services (CMS) has updated the Quality Reporting Document Architecture (QRDA) Category I Conformance Statement Resource and moved it to a new location on the eCQI Resource Center. The document was previously located on the QualityNet and Quality Reporting Center websites. The Conformance Statement Resource assists Calendar Year (CY) 2017 data submitters to troubleshoot the most commonly occurring conformance errors by providing detailed information to resolve the errors causing the file to reject. When test or production QRDA Category I files are submitted for processing to the CMS data receiving system through the QualityNet Secure Portal, errors are identified with a conformance statement, or system-requirement specification. These statements are referred to with a CONF number that tells the data submitter why the file was rejected and unable to be processed. Information has been provided for a total of 44 QRDA conformance errors.

Data submitters may benefit from testing the QRDA Category I files with the Pre-Submission Validation Application (PSVA) tool. This tool will ensure that the file format issues associated with the QRDA Cat I R1 S3.1 base standard have been addressed before submitting the files to the test or production system within the QualityNet Secure Portal.

In addition, CMS has published a CY 2017 Receiving System Edits document which contains over 1,000 program edits indicating the template ID of where the error occurred and additional Hospital Quality Reporting (HQR) Validation checks performed entirely in custom Java code. The document is now available for download from the QualityNet website.

QRDA Category I file submissions are for the following CMS programs:

  • Hospital Inpatient Quality Reporting
  • Medicare and Medicaid Electronic Health Record Incentive programs for Eligible Hospitals and Critical Access Hospitals

For More Information

To find out more about QRDA and electronic clinical quality measures, visit the eCQI Resource Center. If additional assistance is required to troubleshoot the QRDA Category I Conformance Statement, please email the eCQI Resource Center at ecqi-resource-center@hhs.gov. For general questions related to QRDA, visit the ONC QRDA JIRA Issue Tracker. For questions about the QualityNet Secure Portal, contact the QualityNet Help Desk or call (866) 288-8912, Monday through Friday, 8 a.m. – 8 p.m. ET.