Frequently Asked Questions Updated for 2018

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11. Can I report data for the different categories using different reporting mechanisms?

  1. Yes, multiple reporting options exist. However, physicians should be aware of reporting options as well as specific applicability by category and reporting type, including: 
    1. Reporting mechanisms, which are available and/or approved differ depending on whether reporting as an individual or group;
    2. Available reporting mechanisms differ for individuals, groups, and Virtual Groups across each of the four MIPS performance categories; and
    3. If you choose to report as an individual, you must report as an individual across all categories. If you choose to report as a group or Virtual Group, you must report as a group across all categories'
    4. You can report data using different reporting mechanisms for each category. For example, you can report through claims for the quality category, report through your EHR for the advancing care information (ACI) category, and report through attestation for the improvement activities categories. Although you can use different reporting mechanisms for each category, you must use only one reporting mechanism per category. For example, under the quality category, you must report on at least 6 measures. You cannot report data for 3 measures through claims and data for 3 measures using a registry to meet the 6-measure requirement.

    The following chart outlines the different reporting mechanisms available by MIPS category and individual vs. group reporting.
    Category Reporting Options
    Quality Individual Claims, QCDR, Qualified Registry, EHR, CMS QPP Submission Portal
    Group or Virtual Group QCDR, Qualified Registry, EHR, CMS QPP Submission Portal, CMS Web Interface (groups of 25 or more ECs), CMS-approved survey vendor for CAHPS (used in conjunction with another reporting mechanism), Administrative Claims
    Improvement Activities & Advancing Care Information Individual Attestation, QCDR, Qualified Registry, EHR, CMS QPP Submission Portal
    Group or Virtual Group Attestation, QCDR, Qualified Registry, EHR, CMS QPP Submission Portal, CMS Web Interface (groups of 25 or more ECs)
    Cost Individual No submission required, CMS will use administrative claims data.
    Group or Virtual Group

    For additional information, please see the PAI Practice assessment resource


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