The 2027 Annual Update draft measure specifications are now available. Question and comment on Eligible Clinician eCQMs, Hospital - Inpatient eCQMs, and Hospital - Outpatient eCQM until December 19, 2025.
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Now Available: Updated 2024 CMS QRDA III Implementation Guide and Sample Files for Eligible Clinician Programs following the publication of the CY 2024 Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) has released an update to the 2024 CMS Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) and Sample Files for Eligible Clinician Programs based on the CY 2024 Physician Fee Schedule Final Rule published on November 16, 2023. The 2024 CMS QRDA III IG outlines requirements for eligible clinicians to report eCQMs for the calendar year 2024 performance period for these programs:
- Quality Payment Program: Traditional Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs), APM Performance Pathway (APP), and MIPS Value Pathways (MVPs)
- Primary Care First (PCF)
Changes to the 2024 CMS QRDA III IG
- The tables below have been updated for the 2024 performance period:
- Table 4: MVP Identifiers for the 2024 Performance Period
- Table 15: UUID List for MIPS CY 2024 Performance Period eCQM Specifications Eligible Clinicians
- Table 16: Improvement Activities Identifiers for the MIPS CY 2024 Performance Period
- Table 17: Promoting Interoperability Objectives and Measures Identifiers for the MIPS CY 2024 Performance Period
- Table 18: Promoting Interoperability Attestation Statements Identifiers
Changes to the 2024 CMS QRDA III Sample Files
- CMS127v12 and CMS147v12 were removed from the sample files.
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 IGs, 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.