How do I Report on MIPS? Where do I submit my data?

[Alex]

Good Morning,

I'm trying to report on MIPS but don't have a clue where to start. I've watched videos, went to the CMS websites, contacted CMS, asked other organzations, and I've gotten nowhere.  We have at least two providers that are eligible for reporting.  Can anyone Assist?

Thanks!

[Jonathan Sullivan]

Hi Alex,

The submissions window for QPP Program Year 1 (2017) opens on January 2, 2018. Once it opens, eligible providers can report by logging in to https://qpp.cms.gov with an EIDM account that has submitter privileges. Below are a few tips for how to report once the window opens.

Hope this helps!

How can I manually attest to ACI and IA for QPP?

Manual attestation of ACI and IA will be available on the QPP website once the submission window opens. Here are the steps that will be involved:

1.  Obtain an EIDM account for your practice if it does not already have one.
   
2.  Ensure that at least one account associate with your practice has the Security Official role.
   
3.  Login to the QPP website at qpp.cms.gov using the EIDM user id and password for the account that has a Security Official role.
   
4.  Navigate to the area on the QPP website where the ACI or IA attestation functionality is located.
   
5.  You will be guided through the process for reporting and provided with contextual help throughout the process.
   

The new attestation functionality will be far easier and more intuitive than anything provided under prior programs. You will need to understand the measures of course, but the task itself will be easy to perform. CMS has resources on the QPP website today to assist eligible clinicians and groups in preparing to submit.

How can clinicians report Quality data for QPP?

Clinicians can upload Quality data directly to CMS once the official submission window opens by logging in to the QPP website with an EIDM account that has submitter privileges and uploading performance data in one of the following formats:

QPP JSON

QPP XML

QRDA III XML (eCQMs only)

Each file that is uploaded should contain a submission for a single clinician (one TIN, one NPI) or for a group (one TIN, multiple NPIs). You cannot include multiple TINs in one API call or file upload.

[Michael Murdock]

What will the QPP xml format look like for a group (one TIN, multiple NPIs)? Maybe Steve can answer this?

[Pooja kini]

Hi Jonathan,

We are generating QRDA III as a single file with ACI/Quality & IA section as per the QRDA III implementation guide v1.0 (QRDA III XML)

So how can we go ahead submitting this once the submission window opens in QPP. Can you please suggest as soon as possible. Any information will surely help us.

Thanks & Regards

Dr. Pooja

[pma1ent...@gmail.com]

Is there somewhere, like there was on QualityNet, that we can do a Pre-Submission Validation?

Athena

[Jonathan Sullivan]

MIPS eligible clinicians and groups can submit data to QPP using the QRDA III format by following the steps below.

1. Create a QRDA III XML file containing the performance category (Quality, Advancing Care Information, Improvement Activities) data you wish to submit. You must follow the 2017 QRDA III Implementation Guide when creating your file:

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/eCQM_QRDA_EC.pdf

CMS has three resources which you can use to test your ability to create a QRDA III file that:

 • Complies with the 2017 Implementation Guide, and

 • Can be successfully converted by CMS to the QPP JSON format used by the Quality Payment Program

QRDA III Conversion Tool Web App

The first tool is a web application where you can either drag and drop, or select from your computer, a QRDA III XML file and have it converted to QPP JSON. If your file cannot be converted, you will receive detailed feedback.

https://github.com/CMSgov/qpp-conversion-tool

QRDA III Conversion Tool Open Source Package

The second is an open source package which developers can download and use to create their own conversion application or function for their software.

https://qpp.cms.gov/developers/conversion-tool-sandbox

QRDA III Conversion API Endpoint

API Developer Preview participants can test submitting QRDA III files via the API by using the /converter endpoint. Read our documentation to learn more about how to formulate requests to this endpoint. (Note that this link only serves as documentation, and you cannot actually test the /converter endpoint using that link.)

Note that none of these tools have the same functionality as the SEVT or Cypress tools and cannot be used to test QRDA III files against the full range of possible industry uses.

2. Someone with an EIDM account that is associated with the eligible clinician or group, and which has a Security Official or Submitter role, logs in to qpp.cms.gov with their EIDM credentials.

3. The user is taken to a landing page where they can choose a performance category (Quality, Advancing Care Information, Improvement Activities) to report. On any of the performance category pages, the user can elect to upload a file. 

4. The user can select up to 50 QRDA III XML files at a time, each one containing data for a single eligible clinician (one TIN, one NPI) or for a group of eligible clinicians (one TIN, multiple NPIs). (You cannot include multiple TINs in one API call or file upload.)

5. The system consumes the files and returns a score for each eligible clinician and group via the UI. If any validation error are encountered, the system will report the errors via the UI.

[Jonathan Sullivan]

CMS has three resources which you can use to test your ability to create a QRDA III file that:

 • Complies with the 2017 Implementation Guide, and

 • Can be successfully converted by CMS to the QPP JSON format used by the Quality Payment Program

QRDA III Conversion Tool Web App

The first tool is a web application where you can either drag and drop, or select from your computer, a QRDA III XML file and have it converted to QPP JSON. If your file cannot be converted, you will receive detailed feedback.

https://github.com/CMSgov/qpp-conversion-tool

QRDA III Conversion Tool Open Source Package

The second is an open source package which developers can download and use to create their own conversion application or function for their software.

https://qpp.cms.gov/developers/conversion-tool-sandbox

QRDA III Conversion API Endpoint

API Developer Preview participants can test submitting QRDA III files via the API by using the /converter endpoint. Read our documentation to learn more about how to formulate requests to this endpoint. (Note that this link only serves as documentation, and you cannot actually test the /converter endpoint using that link.)

[Pooja kini]

Hi Jonathan,

Thanks a Lot. This was very helpful. 

Can you please share your valuable inputs on the process if we are directly submitting through API's (not through QRDA-III)

Awaiting for your response!

[Jonathan Sullivan]

Can you be more specific about which pieces of API submission you want to learn more about? Keep in mind that you must be a 2017 Qualified Registry or QCDR to use the API for QPP Program Year 1 (2017).