QCDR participants should plan to work with the ACR to submit the necessary data to satisfy full MIPS requirements by March 31 of every year. The Centers for Medicare & Medicaid Services (CMS) requires all MIPS information to be sent by this date. MIPS performance data will be used to provide feedback and to determine a physician or group practice payment adjustment two years following the performance period.
Note: MIPS participants must confirm that the ACR has accepted their MIPS registration for the group. If registration is not accepted, you will not be able to use the MIPS portal interface of NRDR.
By November 30, physician group practices using the QCDR must please complete the following:
Add your physicians using the Manage Physicians page in NRDR
Add your physician group Taxpayer Identification Number (TIN) and supporting documentation using the Manage Physician Group TIN page
Select GPRO status from the Manage Physician Group TIN page, if you intend to report as a group rather than individual physicians (this status can be changed after 11/30/18 in MIPS portal), and
Ensure each physician in the group is registered for the MIPS portal so that their data can be uploaded.
Note: If any of the above items are incomplete, data submission for MIPS will be negatively impacted. Confirm your account is set up properly to avoid data submission errors and view performance results.
By January 31, complete all data submissions to the QCDR for quality measures and improvement activities
Exception: Data for the Dose Index Registry (DIR) is due by December 31
By March 15, total payment is due for MIPS Reporting Fees (invoices sent January 5)
By March 21, review MIPS and QCDR data to select your Quality measures and finalize them for submission to CMS. If applicable, select your Improvement Activities and PI measures, then finalize your IA and PI selections so they can be submitted to CMS. Use the "Submit QM" and "Submit IA" buttons under the CMS Submission tab to complete this process
March 31, 8 PM EST, is the deadline for submitting MIPS measures and activities to CMS. However, to provide the ACR with sufficient time to format and transmit your data, we encourage you to complete attestation and selection before this date!
For more details, refer to the QCDR Participation Checklist. This checklist includes the necessary steps for successfully using NRDR during the MIPS performance year (January 1st - December 31st). We encourage you to register early and submit your data often to better track improvements in care. The checklist is designed for both first-time and returning QCDR participants. The entire QCDR process should be managed by the facility administrator of your NRDR account with input from clinicians.
