Medicare QPP

Physicians Advocacy Institute

These resources have not been updated since 2023 but the general details remain relevant. For a summary of the key changes for CY 2024, please click here.

Frequently Asked Questions Updated for 2023


9. What is the difference between a qualified registry and a qualified clinical data registry?

  1. A QR is capable of collecting and submitting quality data to CMS on your behalf. The list of CMS-approved QRs can be found here.

    A QCDR is defined by CMS as a “CMS-approved entity that collects clinical data on behalf of clinicians for data submission.” Examples include, but aren’t limited to, regional collaboratives and specialty societies. QCDRs can’t be owned or managed by an individual, locally-owned specialty group. The list of CMS-approved QCDRs can be found here.

    The QCDR reporting option is different from a qualified registry because it isn’t limited to measures within the QPP. The QCDR can host “non-MIPS” measures approved by CMS for reporting. Measures submitted by a QCDR may include measures from one or more of the following categories:
    1. i. Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CAHPS), which must be reported via CAHPS certified vendor
    2. National Quality Forum (NQF) endorsed measures
    3. Current 2023 MIPS measures
    4. Measures used by boards or specialty societies
    5. Measures used by regional quality collaborations
    6. Other approved CMS measures

    Some national specialty societies administer or endorse registries and/or QCDRs and offer them to their members at no or low cost. Contact your national specialty society to inquire if it has one available for MIPS reporting.

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