Now Available: Updated 2018 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals

July 27, 2018 - 12:04pm

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 (EPs). This is an update to the 2018 CMS QRDA III IG for Eligible Clinicians and EPs 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) Advancing Care Information performance category to the Promoting Interoperability (PI) performance category.
  • Changes to the MIPS performance period reporting which can be reported at either the individual measure level for the MIPS quality measures and at the individual activity level for the MIPS Improvement Activities, as defined by CMS; or the performance category level for the Quality and Improvement Activities 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.
    • The 2015 Edition (c)(4) filter certification criterion (45 CFR 170.315(c)(4)) is no longer a requirement for CPC+ reporting. However, practices must continue to report eCQM data at the CPC+ practice site level [practice site location, TIN(s)/NPI(s)].
    • 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:

Last Updated: July 27, 2018