NACOR Quality Reporting Options and Mechanisms

Group Practice Reporting vs. Individual Reporting

AQI's NACOR offers two quality reporting options for practices participating in MACRA. Reporting requirements are the same for both options.

Group Practice Reporting

CMS evaluates the quality data at the Tax Identification Number (TIN) level. All eligible clinicians' (ECs) data are aggregated and summarized together prior to evaluation by CMS. Download CMS guidance on group reporting in MIPS 2019 here. 

Individual

CMS evaluates the quality data at the National Provider Identification (NPI) level. Each EC's data are aggregated individually prior to evaluation by CMS.

Qualified Clinical Data Registry (QCDR) and Qualified Registry (QR)

AQI's NACOR offers two quality reporting mechanisms for practices participating in MACRA, QCDR and QR, which use NACOR to collect data for quality reporting and help ECs meet the CMS requirements. To decide which NACOR quality reporting option is best, consider:

QCDR and QR

  • Submit data on all patients regardless of payer (Medicare and Non-Medicare)
  • Mechanism in place to collect outcomes data (for example, quality capture program, post-anesthesia care unit data)
  • Identify at least six MIPS measures with one outcome measure

QCDR vs QR

Benefits

  • Provides comprehensive MACRA reporting and supports your local quality improvement activities
  • Includes specialty-specific reporting measures, providing broader options that may be more meaningful to your practice
  • Helps you prepare for reporting requirements in 2019 under MIPS

Requirements

  • Report six measures with one outcome measure
  • Report on at least 60 percent of your patients to whom the measure applies for all payers (Medicare and non-Medicare)
  • The reporting year is January 1 through December 31, 2019

 

2019 MIPS Reporting QR vs QCDR:

  QR QCDR
Selection of Measures to Report Applicable MIPS measures Available MIPS and non-MIPS QCDR measures
* See the CMS Anesthesiology Specialty Measure Set * See the CMS Anesthesiology Specialty Measure Set
  * See ASA non-MIPS Measure Set
Report one Outcome Measure Yes Yes
Report on 60% of the eligible cases for all payers (Medicare and non-Medicare) Yes

 

Yes
Measure Compliance Reports available for viewing Yes Yes
Data submitted to CMS may be posted on Physician Compare Yes Yes

 

Enrollment

To enroll in QCDR or QR you must first become a NACOR participant. If you are already a member of NACOR you must sign up for QCDR or QR as well.

2019 Deadlines

Deadline Opens Closes
2019 Registration *January 1, 2019 October 31, 2019
January 1, 2019 – November 2019 Data Submission   January 31, 2019
December 2019 Data Submission and corrected files January 1, 2020 January 1, 2020
Data submitted to CMS may be posted on Physician Compare Yes Yes

† March 31, 2019 is CMS’s deadline for NACOR to submit your data. AQI NACOR needs to prepare, aggregate, re-format, validate, error-check, and test your data prior to submitting to CMS.

Measures