Back to top
Top

Now Available: 2023 CMS QRDA III Implementation Guide, Schematron, and Sample Files for Eligible Clinician Programs

July 21, 2022

The Centers for Medicare & Medicaid Services (CMS) has published the 2023 CMS Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG), Schematron, and Sample Files for Eligible Clinician Programs. The 2023 CMS QRDA III IG outlines requirements for eligible clinicians to report electronic clinical quality measures for the calendar year 2023 performance period for these programs:

  • Quality Payment Program: Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs)
  • Primary Care First (PCF)

The 2023 CMS QRDA III IG contains these high-level changes, as compared with the 2022 CMS QRDA III IG:

  • Updates to support HL7 CDA R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 as the base standard.
  • Updates to language in Section 4.1 Primary Care First (PCF) Submissions.
  • Updates to Table 14 to include UUID list for the MIPS CY 2023 performance period eCQM specifications for Eligible Clinicians.

Changes to the 2023 CMS QRDA III Schematron:

  • The schematron has been updated to support conformance statement updates as outlined in this version of the IG.

Changes to the 2023 CMS QRDA III Sample Files:

  • Sample files have been updated to support updates as outlined in this version of the IG.

Please note: We will release a subsequent publication based on the publication of the 2023 Physician Fee Schedule Final Rule in the fall 2022. Updated measure tables and other content may change in the IG based on the publication of the Final Rule.

Additional QRDA-Related Resources:

Find additional QRDA-related resources, current and past implementation guides on the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page. For questions related to this guidance, the QRDA Implementation Guides, or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project. See the QRDA Known Issues Dashboard for solutions under development for both QRDA I and III known technical issues. These known issues supplement the information in QRDA IGs and other supporting documents.

Last Updated: Jul 21, 2022