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Qualified Clinical Data Registry Reporting

The qualified clinical data registry (QCDR) reporting mechanism was introduced for the Physician Quality Reporting System (PQRS) beginning in 2014. A QCDR will complete the collection and submission of PQRS quality measures data on behalf of individual eligible professionals (EPs). For 2015, a QCDR is a CMS-approved entity that collects medical and/or clinical data for the purpose of patient and disease tracking to foster improvement in the quality of care provided to patients. Individual EPs who satisfactorily participate in 2015 PQRS through a QCDR may avoid the 2017 negative payment adjustment (-2.0%). To be considered a QCDR for purposes of PQRS, an entity must self-nominate and successfully complete a qualification process.   

The 2015 Medicare Physician Fee Schedule (MPFS) Final Rule includes the finalized, detailed information regarding this reporting mechanism. Please note: A QCDR is different from a qualified registry in that it is not limited to measures within PQRS; please refer to the documents referenced below for more information.   

2015 PQRS

2015 QCDR XML Specifications

Qualified Clinical Data Registries may use the QCDR XML file to submit data for PQRS or the QRDA III file to submit data for PQRS and the EHR Incentive Program. QCDRs may submit test and production data for the 2015 program year using the 2015 QCDR XML Specifications or the 2015 CMS QRDA Implementation Guide for Eligible Professional Programs and Hospital Quality Reporting.

For Individual EPs:

2015 Physician Quality Reporting System (PQRS): Qualified Clinical Data Registry (QCDR) Participation Made Simple

For EPs interested in using a QCDR to avoid the 2017 PQRS negative payment adjustment, the 2015 PQRS QCDR Participation Made Simple is a beginner-level document that describes QCDR reporting and outlines the steps that an individual EP should take in selecting a QCDR for the 2015 PQRS program year.

For Entities:

2015 Physician Quality Reporting System (PQRS): Qualified Clinical Data Registry (QCDR) Submission Criteria

For entities that are interested in becoming a QCDR, the 2015 PQRS: QCDR Submission Criteria document contains detailed information regarding the self-nomination requirements and qualification requirements.

2015 Qualified Clinical Data Registries

This document contains the listing of 2015 Qualified Clinical Data Registries (QCDRs) including detailed information of the services each QCDR offers, the cost incurred by their clients, as well as the measures they are supporting in PY 2015. These entities have self-nominated and indicated that they meet the requirements as outlined by CMS in the 2015 Medicare Physician Fee Schedule (MPFS) final rule. Eligible professionals wishing to participate using the QCDR reporting option should review this document by clicking on the following link: 2015 Qualified Clinical Data Registries.

2015 PQRS Qualified Clinical Data Registry (QCDR) Training Guide

The 2015 PQRS QCDR Training Guide is an intermediary-level resource that provides information about reporting 2015 PQRS through a Qualified Clinical Data Registry (QCDR) to individual EPs and QCDR entities. This document provides EPs and QCDR entities with information about what a QCDR is and the benefits of participating via QCDR. The document also provides EPs and QCDR entities with information about the Submission Engine Validation Tool (SEVT), Production Submission and lessons learned from previous program years.