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
- QCDR includes non-MIPS and MIPS measure sets
- QR includes only MIPS measure sets
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 50 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 * See the CMS Anesthesiology Specialty Measure Set |
Available MIPS and non-MIPS QCDR measures * 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 | February 14, 2020 |
† 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