Quality Reporting 2018

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)), and cost. (Note: Cost is not an included category for 2017 MIPS Reporting.)

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.)

In 2018, eligible clinicians are required to earn a minimum of 15 MIPS points in order to avoid a negative -5% Medicare reimbursement adjustment for 2020.

ASCO and the American Society for Radiation Oncology (ASTRO) have teamed up to create the QOPI Reporting Regsitry (QCDR) to help both medical oncologists and radiation oncologists successfully meet the 2018 MIPS requirements.

2018 sign up for the System Integrated Approach is now open. Sign up for the Web Interface Tool will being min-January. To sign up, 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.

 

Want to learn more? Attend a 30-minute QOPI Reporting Registry webinar. All webinars take place at 12pm ET.

Join the Webinar (Password: asco)

January 19 - CANCELLED due to staff illness

January 26

Or view a demo of the QOPI Reporting Registry Dashboard (System Integrated Approach)

A demo of the Web Interface Tool dashboard/data entry will be available shortly. The user manual can be found here.

 

2017 Reporting Timeline

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

October 6th, 2017 - Sign up for reporting 2017 MIPS through the System Integrated Approach (electronic reporting) ends.

October 31st, 2017 - All practices who signed up for the System Integrated Approach must have reporting software installed.

December 22nd, 2017 - Sign up for reporting 2017 MIPS through the Web Interface Tool (manual data entry) ends. (DEADLINE EXTENDED from 12/18/17.)

January 31st, 2018 - Data entry for 2017 MIPS closes (Extended from 1/19/18)

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 2018 MIPS Reporting

2018 System Integrated Approach Sign Up Now Open

Any practice with at least one active ASCO or ASTRO member can now sign-up to participate in the QOPI® Reporting Registry System Integrated Approach. To sign up, please visit: https://qcdr.asco.org/signup/Login.aspx

Note: Practices who are participating in 2017 MIPS reporting with the QOPI® Reporting Registry can use their current QOPI® Reporting Registry credentials to login to the sign up portal to sign up for 2018 reporting.

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 an ASCO member, but not currently a QOPI® practice, or if you are an ASTRO member, 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 $495/NPI to submit data with the QOPI® Reporting Registry for 2018. Payment is due before data can be entered/viewed on the MIPS Dashboard.

Sign up for the Web Interface Tool will be available mid-January.

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)

*Sign up for electronic reporting for 2018 is now open.*

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.

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

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

*Sign up for the 2018 Web Interface Tool will be available early February*

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 avoid a negative payment adjustment for 2018 MIPS reporting by meeting the minimum reporting requirement of 15 MIPS points. Practices using the WIT can report on the Quality category, Advancing Care Information, and Improvement Activities.

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.

Measures Included in the QOPI Reporting Registry

2018 Measures List

Measure #

Measure

Measure Type

High Priority

NQF Measure #

QOPI5

Chemotherapy administered to patients with metastatic solid tumor with performance status of 3, 4, or undocumented (Lower Score - Better)

Process

N/A

N/A

QOPI11

Combination chemotherapy received within 4 months of diagnosis by women under 70 with AJCC stage IA (T1c) to III ER/PR negative breast cancer

Process

N/A

NQF Endorsed #0559

QOPI15

GCSF administered to patients who received chemotherapy for metastatic cancer (Lower Score - Better)

Process

N/A

NQF Endorsed #0326

QOPI16

Oncology: Treatment Summary Communication – Radiation Oncology

Process

N/A

NQF Endorsed #0381

QOPI17

External Beam Radiotherapy for Bone Metastases

Process

N/A

NQF Endorsed #1822

QPP 47

Care Plan

Process

Yes

NQF Endorsed #0326

QPP 67

Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow

Process

No

NQF Endorsed #0377

QPP 69

Hematology: Multiple Myeloma: Treatment with Bisphosphonates

Process

No

NQF Endorsed #0380

QPP 70

Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry

Process

No

NQF Endorsed #0379

QPP 102

Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patient

Process

Yes

NQF Endorsed #0389

QPP 104

Prostate Cancer: Adjuvant Hormonal Therapy for High Risk or Very High Risk Prostate Cancer

Process

No

NQF Endorsed #0390

QPP 130

Documentation of Current Medications in the Medical Record

Process

Yes

NQF Endorsed #00419

QPP 134

Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan

Process

No

NQF Endorsed #00418

QPP 143

Oncology: Medical and Radiation - Pain Intensity Quantified

Process

Yes

NQF Endorsed #0384

QPP 226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Process

No

NQF Endorsed #0028

QPP 317

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented     

Process

No

N/A

QPP 408

Opioid Therapy Follow-up Evaluation

Process

No

N/A

QPP 449

HER2 Negative or Undocumented Breast Cancer Patients Spared Treatment with HER2-Targeted Therapies

Process

Yes

NQF Endorsed #1857

QPP 450

Trastuzumab Received By Patients With AJCC Stage I (T1c) -  III And HER2 Positive Breast Cancer Receiving Adjuvant Chemotherapy

Process

Yes

NQF Endorsed #1858

QPP 451

KRAS Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody Therapy

Process

No

NQF Endorsed #1859

QPP 452

Patients with Metastatic Colorectal Cancer and KRAS Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies

Process

Yes

NQF Endorsed #1860

QPP 453

Proportion Receiving Chemotherapy in the Last 14 Days of Life   (Lower score - Better)

Process

Yes

NQF Endorsed #0210

QPP 456

Proportion Not Admitted To Hospice

Process

Yes

NQF Endorsed #0215

QPP 457

Proportion Admitted to Hospice for less than 3 days   (Lower score - Better)

Outcome

Yes

NQF Endorsed #0216

QPP 462

Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Therapy

Process

No

N/A

 

Click here to view the full 2018 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 will continue to offer Group Reporting in 2018. 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.

If you choose the group reporting option all clinicians in the group will receive the same score and the same payment adjustment in 2020.