We all play an important role in the quality healthcare movement and although it may not always seem like it, we have choices . For example, we can choose a QCDR with which we can both easily report and earn more revenue. Not all QCDRs (Qualified Clinical Data Registries) are the same. The right QCDR provides an opportunity for us to fulfill reporting requirements and earn bonus points. Before choosing just any QCDR, we can consider the following:
#1: Choice of QCDR vs Qualified Registry (aka standard registry)
CMS has raised the bar for the Quality Payment Program in 2018. You can read more about this in the CMS Executive Summary . In the 2017 reporting year, providers only needed to earn three points in MIPS (Merit-Based Incentive Payment System) to avoid negative payment adjustments (-4%). In 2018, providers need to earn 15 points. Don’t let this scare you…it may actually be a good thing for your practice depending on how and what you report. QCDRs provide opportunities to earn more points because they have more relevant measures to offer.
#2: Are the QCDR measures relevant to your practice?
What does your practice do really well and what is your specialty? Consider the quality performance strengths of your practice. Match it with a QCDR that can enable you to report relevant measures that boost your scores and earn you bonus points. For example, in addition to standard measures, the SaferMD QCDR offers unique, CMS approved, self-nominated measures that support the rapid reporting of critical test results. If this is something your practice does well, then you can choose this QCDR to help get you to your target MIPS score, or higher.
#3: Will the QCDR nominate your quality measures to CMS so that you can report them through MIPS?
If your practice has its own unique and effective measures as part of its quality improvement program, be on the lookout for a QCDR that can nominate measures for you. This requires a QCDR with the tools and a smart support team that has the time and flexibility to get it done for you.
Dr. Brian Gale is a NYC radiologist that specializes in all things related to MIPS reporting. Based on his own observations and frustrations, he founded SaferMD , a QCDR that supports standard MIPS measures plus additional radiology QCDR measures that can help radiologists to succeed with MIPS.