2022 National Anesthesia Clinical Outcomes Registry (NACOR) Order Form





Products & Services NACOR Basic NACOR Benchmarking Quality Reporting Quality Concierge®
Submit data to NACOR
NACOR Dashboard
Local analytic reports
National Benchmarks
National comparative analytic reports
MIPS Quality Reporting Component
MIPS Improvement Activities
Patient Experience Survey
Mobile App
Aggregation, merging and validation of data
Opioid Dependence Risk Alert
Full EHR integration
Real-time improvement activity tracking


NACOR Quality Reporting Form (Group Practice Reporting QR/QCDR or Individual QR/QCDR) This form is only for: NACOR-Group Practice Reporting Qualified Registry (QR) NACOR-Group Practice Reporting Qualified Clinical Data Registry (QCDR) NACOR-Individual Qualified Registry (QR) NACOR-Individual Qualified Clinical Data Registry (QCDR) If you are ordering NACOR Basic or NACOR Benchmarking, please change selection above. If you are a Quality Concierge customer, please do not fill out this order form. If you have questions, contact qcdr@asahq.org.

INSTRUCTIONS FOR NACOR QUALITY REPORTING Review NACOR fees 2022 NACOR Pricing based on each provider's ASA membership status. Please note that for 2022, ASA members will incur a nominal fee for NACOR Quality Reporting. Select your reporting option. Indicate whether your practice is a new NACOR customer (did not participate last year) or a renewal (participated last year). If your practice is an existing NACOR customer, please provide your AQI Practice ID. Contact AQI if you do not know your Practice ID. Indicate whether this is a new order, replacing an existing order, or adding providers to an existing order. Enter provider quantities according to provider type and ASA member status. Please be as accurate as possible. Enter contact, practice and billing information. Click "Submit Order" at the bottom of the form. You will receive an email confirmation shortly.

Questions? askaqi@asahq.org

PAYMENT POLICIES AND PROCEDURES Agreements: In order for your practice to participate in NACOR Quality Reporting, a NACOR Participation Agreement is required. If your practice did not previously participate in NACOR Basic, Benchmarking or Quality Reporting, the required contract and invoice will be emailed to you once your order is processed.

Initial Payment: Your practice will receive an invoice after the order has been processed for the number of eligible clinicians that you reported on your order form (NOTE: your number of reported eligible clinicians should reflect the number of providers intending to submit data to AQI for the selected service as of the order date). Terms of payment are net 30 days. No data will be accepted by AQI until payment is received.

Login information for new participating groups: will be emailed to the practice champion (designated in the NACOR Participation Agreement) once fees are paid.

Final Payment: Beginning in January 2023, ASA will reconcile the number of eligible clinicians paid for in your Initial Payment against actual data submitted by the practice and generate a final reconciliation invoice for any additional providers, if applicable. All payments must be received by March 15, 2023. Refunds will not be issued. Example: If a practice ordered NACOR Quality Reporting services for 10 CRNAs but submitted data for 12 CRNAs, ASA will invoice for the 2 additional CRNAs. If ASA does not receive payment for the 2 additional CRNAs by March 15, 2023, at AQI’s discretion the additional CRNAs’ data may not be submitted to CMS.

2022 Membership: Payment is determined by 2022 ASA membership status. Please note the following NEW deadlines:

  • October 1 - NACOR registration deadline (Please note: non-members would have to pay the non-member pricing)
  • October 1 - deadline to become an ASA member for 2022; practices must supply list of non-members becoming members to ASA membership
  • October 25 - last day to pay ASA dues for 2022 membership

Locum Tenens: Data submitted for all providers, including locums, temporary staff or part-time staff will be included in the provider count.

Additional Information for Group vs. Individual Reporting: Group Reporting: All Eligible Clinicians (ECs) in your group billing must be included in the data submitted to NACOR. Individual Reporting: CMS requires every Eligible Clinician (EC) submit a consent form for individual reporting practices. Each EC for which you intend to submit quality data must sign a consent form for 2022. CMS requires this consent be collected annually. Your practice is to keep a copy of the consents in your files for a period of seven years, in case of CMS audit. You will receive a copy of the consent form with your signed agreements or you can locate it on the AQI website.

The Opt-In option is only available to practices which do not meet all three of the 2022 MIPS eligibility criteria (bill more than $90,000 for Part B covered services, see more than 200 Part B patients and provide 200 or more covered professional services to Part B patients). Please check your clinician's 2022 MIPS eligibility to see if you your practice meets the criteria to opt in. If your practice is not MIPS eligible but meets one or two of the MIPS criteria and would like to submit 2022 MIPS data for a potential payment adjustment, please select the Opt-In box.

If you choose to Opt-In, email askaqi@asahq.org to provide the NPIs for those clinicians who will be included.

Administrative costs: NACOR administrative costs are incurred during the data reporting year for each clinician, MD, CRNA, etc., in the data files that are processed; the final invoice will be based on this head count. Final payment of invoices is required even if data is not submitted to CMS as this is a NACOR administrative fee, not a CMS fee. Participants may not be allowed to register for future reporting until all outstanding invoices are paid.

Questions?: Email askaqi@asahq.org

NACOR Benchmarking Form (National benchmarking; measure compliance and quality improvement initiatives) This form is only for NACOR Benchmarking If you are ordering NACOR Quality Reporting or NACOR Basic, please change selection above. If you are a Quality Concierge customer, please do not fill out this order form. If you have questions, contact qcdr@asahq.org.

INSTRUCTIONS FOR NACOR BENCHMARKING Review NACOR fees 2022 NACOR Pricing based on each provider's ASA membership status. Please note that for 2022, ASA members will incur a nominal fee for NACOR Quality Reporting. Indicate whether your practice is a new NACOR customer (did not participate last year) or a renewal (participated last year). If your practice is an existing NACOR customer, please provide your AQI Practice ID. Contact AQI if you do not know your Practice ID. Indicate whether this is a new order, replacing an existing order, or adding providers to an existing order. Enter provider quantities according to provider type and ASA member status. Please be as accurate as possible. Enter contact, practice and billing information. Click "Submit Order" at the bottom of the form. You will receive an email confirmation shortly.

Questions? Email askaqi@asahq.org

PAYMENT POLICIES AND PROCEDURES Agreements: In order for your practice to participate in NACOR Benchmarking, a NACOR Participation Agreement is required. If your practice did not previously participate in NACOR Basic, Benchmarking or Quality Reporting, the required contract and invoice will be emailed to you once your order is processed.

Initial Payment: Your practice will receive an invoice after the order has been processed for the number of eligible clinicians that you reported on your order form. Terms of payment are net 30 days. No data will be accepted by AQI until payment is received.

Login information: For new participating groups, login details will be emailed to the practice champion (designated in the NACOR Participation Agreement) once fees are paid.

Final Payment: Beginning in January 2023, ASA will reconcile the number of eligible clinicians paid for in your Initial Payment against actual data submitted by the practice and generate a final reconciliation invoice for any additional providers, if applicable. All payments must be received by March 15, 2023. Refunds will not be issued. Example: If a practice ordered NACOR Quality Reporting services for 10 CRNAs but submitted data for 12 CRNAs, ASA will invoice for the 2 additional CRNAs.

2022 Membership: Final Payment is determined by 2022 ASA membership status. Please note the following NEW deadlines:

  • October 1 - NACOR registration deadline (Please note: non-members would have to pay the non-member pricing)
  • October 1 - deadline to become an ASA member for 2022; practices must supply list of non-members becoming members to ASA membership
  • October 25 - last day to pay ASA dues for 2022 membership

Locum Tenens: Data submitted for all providers, including locums, temporary staff or part-time staff will be included in the provider count.

Administrative costs: NACOR administrative costs are incurred during the data reporting year for each clinician, MD, CRNA, etc., in the data files that are processed; the final invoice will be based on this head count. Final payment of invoices is required. Participants may not be allowed to register for future reporting until all outstanding invoices are paid.

Questions? Email askaqi@asahq.org

NACOR Basic Form This form is only for NACOR Basic If you are ordering NACOR Quality Reporting or NACOR Benchmarking, please change selection above. If you are a Quality Concierge customer, please do not fill out this order form. If you have questions, contact qcdr@asahq.org.

INSTRUCTIONS FOR NACOR BASIC Review NACOR fees 2022 NACOR Pricing based on each provider's ASA membership status. Indicate whether your practice is a new NACOR customer (did not participate last year) or a renewal (participated last year). If your practice is an existing NACOR customer, please provide your AQI Practice ID. Contact AQI if you do not know your Practice ID. Indicate whether this is a new order, replacing an existing order, or adding providers to an existing order. Enter provider quantities according to provider type and ASA member status. Please be as accurate as possible. Enter contact, practice and billing information. Click "Submit Order" at the bottom of the form. You will receive an email confirmation shortly.

Questions? Email askaqi@asahq.org

PAYMENT POLICIES AND PROCEDURES Agreements: In order for your practice to participate in NACOR Basic, a NACOR Participation Agreement is required. If your practice did not previously participate in NACOR Basic, Benchmarking or Quality Reporting, the required contract and invoice will be emailed to you once your order is processed.

Initial Payment: Your practice will receive an invoice after the order has been processed for the number of eligible clinicians that you reported on your order form (NOTE: your number of reported eligible clinicians should reflect the number of providers intending to submit data to AQI for the selected service as of the order date). Terms of payment are net 30 days. No data will be accepted by AQI until payment is received.

Login information: For new participating groups, login details will be emailed to the practice champion (designated in the NACOR Participation Agreement) once fees are paid.

Final Payment: Beginning in January 2023, ASA will reconcile the number of eligible clinicians paid for in your Initial Payment against actual data submitted by the practice and generate a final reconciliation invoice, if applicable. All payments must be received by March 15, 2023. Refunds will not be issued.

Example: If a practice ordered NACOR Basic services for 10 ASA Member Anesthesiologists, but submitted data for 12 Member Anesthesiologists, ASA will invoice for 2 additional Member Anesthesiologists.

2022 Membership: Final Payment is determined by 2022 ASA membership status. Please note the following NEW deadlines:

  • October 1 - NACOR registration deadline (Please note: non-members would have to pay the non-member pricing)
  • October 1 - deadline to become an ASA member for 2022; practices must supply list of non-members becoming members to ASA membership
  • October 25 - last day to pay ASA dues for 2022 membership

Locum Tenens: Data submitted for all providers, including locums, temporary staff or part-time staff will be included in the provider count.

Administrative Costs: NACOR administrative costs are incurred during the data reporting year for each clinician, MD, CRNA, etc., in the data files that are processed; the final invoice will be based on this head count. Final payment of invoices is required. Participants may not be allowed to register for future reporting until all outstanding invoices are paid.

Questions? Email askaqi@asahq.org







If yes, email askaqi@asahq.org or contact your AQI Account Manager to provide the NPIs for these clinicians who will "Opt-In".


NACOR Pricing

Provider TypeASA Member PriceNON-Member Price
Physician Anesthesiologists
Care Team Clinicians Supervised by physician anesthesiologist (Excludes Residents)
Independent Nurse Anesthetists

Independent practice without physician anesthesiologist supervision

NACOR benefits are included with ASA Member Dues for NACOR Basic only. ASDA Members With ASA Educational Membership: Select the "ASA Member Physician Anesthesiologists" category.

Non-ASA Members should select the "Non-Member Anesthesiologists" category.

Indicate the provider quantities above for each ASA Current Member and ASA Non-Member participating in 2021 reporting.


Provider Quantities (Enter At LEAST one category)

Provider TypeASA MembersNON-MembersSubtotal
Physician Anesthesiologists

$
Care Team Clinicians

$
Independent Nurse Anesthetists

$
Total Providers: 0 $0

Name of person placing this order

Practice Information


Billing Contact Information





I have read the instructions and acknowledge receipt of the payment polices and procedures.