QCDR QPP Guide for Mental Health Professionals

Starting in 2013, Physicians’ Quality Reporting System (QPP) is a mandatory program for reporting to CMS (Centers for Medicare and Medicaid), and penalties will now be imposed on non-reporting Medicare professional providers, including behavioral health professionals, including psychologists and clinical social workers. 

In 2014, CMS began a new QPP reporting program: The Qualified Clinical Data Registry (QCDR).  As an evolution of traditional QPP reporting methods (such as Claims or Qualified Registries), QCDR reporting offers the following advantages to Medicare providers:

1. QCDRs have inherent processes that integrate more easily with the workflow of the Mental Health Providers, including those who use other software (practice management, billing software) other than EHRs.

2.  QCDR reporting does not have many of the restrictions inherent in the legacy QPP reporting methods; Providers that use the QCDR enables greatly improve the success rate of their QPP report process.
(as compared to >50% failure rate for legacy QPP Claims reporting.  See details)

3. As a partner with a professional organization, a QCDR can create measures relevant to a provider’s specialty.  For example, NQF measure 0105 - Antidepressant Medication Management (AMM) can be proposed as a QCDR specific measure to help fulfill QPP reporting requirements of a mental health professional. 

4. The QPP submission generated by a QCDR on behalf of a providerl contains only the population statistics of the patient panel selected by the Medicare provider. 

CUHSM.org is a QCDR registered with CMS that provides QPP support to mental health professionals.   We streamline the QPP reporting process by providing alternative methods that integrate with the CMS billing workflow of providers, especially for those (like many Mental Health professionals) who do not use an EHR:

For more information, click on the links below:

 

PQRS Measures