Quality Reporting

Under the CMS Quality Payment Program (QPP)—the new reimbursement system that MACRA authorizes—the Physician Quality Reporting System (PQRS) will be replaced with the Merit-Based Incentive Payment System (MIPS), which also replaces the EHR Incentive Program (“Meaningful Use”).

Eligible clinicians (ECs) will receive a score and payment adjustments based on a Final Score, which factors in performance on (1) quality, (2) improvement activities (IA), (3) advancing care information (formerly meaningful use of certified electronic health records (EHRs)). There is a fourth category of cost, but CMS will not factor this into 2017 performance scores. Fortunately, CMS has given practices 2017 to prepare for these changes, even dubbing the year as “Pick Your Pace.” To give physicians time to adapt to this new system, in 2017 CMS is requiring practices to report on only ONE measure to avoid a 4% Medicare reimbursement penalty in 2019. (While one measure is the minimum requirement to avoid the 2019 penalty, ASCO encourages practices to report on at least four measures to become fully acquainted with the system and ensure that the CMS requirements are met.)

Similar to QOPI's 2016 PQRS offerings, practices will be able to meet the 2017 MIPS reporting requirements through the QOPI Reporting Registry, ASCO's QCDR (Qualified Clinical Data Registry).

The 2017 MIPS reporting measure list for the QOPI Reporting Registry can be found below. If you are interested in signing up for QOPI Reporting Registry, please see the "How To Get Started" section below.

If you have questions or need assistance, please email qopi@asco.org.

More information on how ASCO is helping to prepare practices for MACRA can be found here.

2017 Reporting Timeline

January 1st, 2017 - December 31st, 2017 - Reporting period for 2017 MIPS reporting.

October 1st, 2017 - Registration for reporting 2017 MIPS through QOPI ends. (Please note, data submission will continue until December 31, 2017.)

October 2nd, 2017 - Per CMS, practices participating in partial reporting must start no later than October 2nd, 2017 so as to report the full 90 day requirement.

January 2018 - March 2018 - QOPI will review, audit and packing data for CMS submission before the deadline of March 31st, 2018.

January 2019 - Payment adjustments begin

More detailed information is availabe on the CMS website.

PQRS Reporting Accordion

How to Get Started with 2017 MIPS Reporting

The QOPI® Reporting Registry sign-up portal has officially launched!

We are excited to announce that any practice with at least one active ASCO or ASTRO member can now sign-up to participate in the QOPI® Reporting Registry. To sign up, please visit: https://qcdr.asco.org/signup/Login.aspx

Practices who are currently members of QOPI® can use their QOPI® login credentials to access the sign-up portal by entering their username and password. (*Please note, you must be a Corresponding Physician (PHC) or QOPI® Practice Administrator (PRA) to access the QOPI® Reporting Registry sign-up portal.)

If you are and ASCO member, but not currently a QOPI® practice, or if you are an ASTRO memeber, please click “New Sign Up” at the bottom right corner of the login screen and follow the directions to register your practice with the QOPI® Reporting Registry.

Please note there is a fee of $75/NPI to register and submit data with the QOPI® Reporting Registry.

For more assistance, please review the Sign-Up Portal User Guide.

If you have any questions on the sign-up process, please contact the QOPI® Help Desk at qopi@asco.org

How To Report Electronically through the QOPI® Reporting Registry (ASCO's QCDR)

Practices who opt to report electronically through the System Integrated approach can submit measure data via the Registry Practice Connector (RPC), a read-only extraction software that connects to the practice’s EHR database. This method is recommended for practices who are able to report via EHR, as it enables reporting beyond the minimum requirement of one measure on one Medicare Part B patient for each Eligible Clinician (EC). Practices who participate in more than the minimum reporting requirement may be eligible for a positive adjustment in 2019 and ASCO encourages practices to report several quality measures with several patients per measure to become fully acquainted with the system and ensure that CMS requirements are met.

Participating practices will also be able to attest to participation in the Improvement Activities and Advancing Care Information categories via the QOPI® QCDR. Practices participating in other ASCO Quality Programs may be able to use those activities for attestation. To view a list of ASCO Quality programs eligible for MIPS points, click here.

Alternatively, the 2017 CMS MIPS reporting requirments can be fulfilled by reporting on Improvement Activities and/or Advancing Care Information instead of reporting quality measures. Please note that practices participating in the Oncology Care Model (OCM) with one-sided risk are exempt from the quality component of MIPS. For more details on the OCM and other MIPS reporting options, please visit http://www.asco.org/macra

If you're interested in signing up for the QOPI® Reporting Registry, please see the "How to Get Started" section above. If you have any questions, please email qopi@asco.org.

How to Report Using the QOPI® Web Interface Tool (WIT)

Reporting manually with the QOPI® Web Interface Tool (WIT)

For practices who cannot yet support the System Integrated approach, the QOPI® Reporting Registry also offers a Web-interface Tool (WIT).

Practices who participate with the WIT will be able to meet the minimum reporting requirements of one measure on one Medicare Part B patient for each Eligible Clinician (EC). Practices will have the opportunitiy to report on more than the minimum requirements via the WIT as well. Practices who report only on the minimum requirement will avoid a negative adjustment for 2019, but will not be eligible for a positive adjustment. QOPI® recommends that practices report on at least four measures to become fully acquainted with the system and ensure that the CMS requirements are met.

Practices will be able to attest to participation in the other MIPS categories (Advancing Care Information and Improvement Activities) via the WIT as well. Practices participating in other ASCO Quality Programs may be able to use those activities for attestation. To view a list of ASCO Quality programs eligible for MIPS points, click here.

If you're interested in signing up for the QOPI® Reporting Registry, please see the "How to Get Started" section above.

If you have any questions, please email qopi@asco.org.

Measure Selection for 2017 MIPS Reporting

For the 2017 performance year, under the “pick your pace” schedule, you may report as little as one measure on one patient to avoid the payment penalty, although it is recommended that you submit more data to ensure successful avoidance of the penalty. Please note, if you choose to participate in minimum reporting, the patient must be a Medicare Part B patient.

For providers looking to increase their MIPS quality score and participate fully in quality reporting, CMS requires a reporting minimum of 6 measures or a specialty measure set (these sets may include more or less than 6 measures) for at least 90 days; you may report up to a full year. Practices or individuals should pick the measures that are most applicable to their practices, one of which should be an outcome measure (or a high priority measure if an outcome measure is not available and applicable). To ensure complete scoring of a measure (i.e. to potentially receive more than the 3 points which is the floor for 2017), you must report on 50% of all your patients to whom the measure applies, and have a 20 patient minimum. 

The QOPI Reporting Registry QCDR contains measures from CMS’s General Oncology Specialty Measure Set and has been approved by CMS for quality reporting through a registry for 2017. The approved measure list is below.

  Click here to view the full measure specifications.                                                                

 

 

2019 Payment Adjustment Information

Your practice's 2019 payment adjust will depend on how you participate for the 2017 reporting year as well as how your practice performs compared to the rest of 2017 reporting practices.

For Group Practices

The QOPI Reporting Registry is also offering Group Reporting for 2017. A group is defined by CMS as a set of clinicians (identified by their NPIs) sharing a common Tax Identification Number (TIN), no matter the specialty or practice site. Note that if you choose the group reporting option, you must report as a group across all categories (for 2017 that includes Quality, Advancing Care Information, and Improvement Activities; cost is not part of your MIPS score for the 2017 performance year).

If you choose the group reporting option all clinicians in the group will receive the same score and the same payment adjustment in 2019.