Submission Methods for the Quality Payment Program

Under the Quality Payment Program, the Centers for Medicare & Medicaid Services (CMS) allows practices or eligible professionals to submit their data through a variety of methods. Yet only one method may be used for each performance category: Quality, Improvement Activities and Advancing Care Information (CMS has renamed Meaningful Use to Promoting Interoperability). Cost performance data is not submitted but rather directly available to CMS through administrative claims data for the Total Per Capita Cost, Medicare Spending Per Beneficiary and episode-based measures.

Determining your submission method depends on a number of factors, including:

  • Whether you are reporting as individual Eligible Professionals or as a group
  • The size of your group/practice
  • The performance category on which you are reporting
  • Your EHR (confirming it is certified)

Under Quality:

  • Qualified Clinical Data Registry (QCDR)
  • Qualified Registry
  • EHR
  • Claims
  • CMS Web Interface
  • CAHPS for MIPS Survey

Under Improvement Activities:

  • QCDR
  • Qualified Registry
  • EHR
  • CMS Web Interface
  • Attestation

Under Promoting Interoperability:

  • QCDR
  • Qualified Registry
  • EHR
  • CMS Web Interface
  • Attestation

CMS offers information in their fact sheets under each of the submission methods.

There are both pros and cons to each submission method, and you must base it on understanding your clinical workflow and what measures are being extracted from your EHR to get the most accurate data. Some submission methods may require extra work, but if your practice is looking for the highest possible score, you will need to plan.

For help understanding your measures, making sure you are collecting the correct data and reviewing the data on a regular basis, providers can reach out to the Quality Reporting Engagement Group for answers to questions and guidance.

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or call 877-570-8721 x2.