Quality Domain


Click here for an overview of the Quality domain

The submission vehicles for your Quality reporting are:

  1. CMS portal – In order to log into the QPP website you will need an Enterprise Identity Data Management (EIDM) account. Eligible clinicians are encouraged to log-in early and often to familiarize themselves with the system. Data can be updated at any time during the submission period. Once the submission period closes, we will calculate your payment adjustment based on your last submission or submission update. The 2018 submission period runs from January 2 to March 31, 2019. (How to create and EIDM Account).

  2. Claims (individual submission only) – If choosing this method, you must submit claims data for each MIPS eligible clinician in your practice. You can select your measures and report through your routine billing process. If you choose this option, you’ll need to add certain billing codes to denominator eligible claims to show that the required quality action or exclusion occurred (can be used by paper practices).

  3. Qualified Registry

  4. Qualified Clinical Data Registry (individual or group submission)

You may want to consider reporting on the following measures, as they are part of the ICP Quality incentive measures (click here to download the full list of measures including specialty and submission method specifics):

  • Breast Cancer Screening (Quality ID: 112)
  • Colorectal Cancer Screening (Quality ID: 113)
  • Tobacco Use (Quality ID: 226)
  • BMI (Quality ID: 128)
  • Preventive Care and Screening: Blood Pressure (Quality ID: 317)
  • Medication Reconciliation Post-Discharge (Quality ID: 046)
  • Influenza Immunization (Quality ID: 110)

However, you may want to choose to report on specialty specific measures.  For instance, a cardiologist may want to choose, “Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (Quality ID: 438)”.

Measures you have been collecting data on since January 1, 2018 are more likely to meet data completeness requirements (data completeness is met by submitting at least 60% of possible data that is applicable to the measure), making it more likely to earn a higher positive payment adjustment.