CUHSM FAQ - Common Questions
- QCDR Qualified Clinical Data Registry
-
How do I enroll?
There is no CMS enrollment
process when reporting through a QCDR;
you simply engage a QCDR and begin the
process of QPP reporting on
provider services
rendered.
-
When should I start reporting?
In 2016 you must report on 50% of the
applicable cases for a 9 measures that cover
3 NQS Domains;
these providers should
design their office workflow to start
their reporting
processes as soon as
possible to meet the 50% threshold by the end of the year.
-
If I use the QCDR process for
QPP reporting to CMS, does my staff need to continue to code
the the extra CMS-1500 fields normally intended for Claims?
Although the QCDR reporting process does not directly use the
CMS-1500 codes, it is helpful to keep this coding in your
practice's workflow. The codes do apply in specific
measures. In case CMS changes reporting requirement, it is
best to keep your office workflow processing all CMS-1500 fields
-
Why is it helpful to have the
entire CMS-1500 billing dataset available for the reporting
process?
--This data establishes a reliable denominator baseline for all
measures.
--The CMS-1500 dataset is where CMS will start any internal
processing of the QCDR data of your organization.
--It makes it much easier to select the optimum measures
applicable for your practice.
-
Where can my office get a
complete CMS-1500 dataset?
From your billing company/clearinghouse, from your billing
software, or your practice management system. Any software
that manages the CMS billing process should be able to print out
periodic (usually monthly) detailed CMS-1500 reports.
-
Is it necessary to include
all fields in the CMS-1500 dataset?
Only the non-financial data is needed from the CMS-1500 dataset.
Any dollar figures can be scrubbed. For HIPAA security,
The patient ID/SSN should be replaced with an identifier that
the practice associates with it's patient (i.e. MRN)
-
What is the easiest way to
process the CMS-1500 file?
Import it into a spread sheet and process away!
-
What if none of those measures apply to my
practice? Will I be penalized?
If none of the
measures apply to your clients’ diagnosis and treatment, contact
CMS’ QualityNet Help Desk: they can either help you find
applicable measures or make sure you’re not penalized if you
can’t report. 866.288.8912,
qnetsupport@sdps.org
For more information,
click on the links below:
Additional Resources / Ask Questions /
Sources
CMS Website
2013 QPP Measures Specification Manual
APA
Practice Organization
For specific questions, contact your local Medicare contractor or
click here for CMS HelpDesk Support
