2017 NACOR Quality Reporting Deadlines

12/15/17  Enrollment in merging and/or formatting assistance 
1/31/18 January through November 2017 data submission 
2/15/18 Enrollment in NACOR Quality Concierge 90-day or 1 measure/1 case option;
December 2017 data submission
In NACOR dashboard:
   CMS opt-out
   TIN/NPI reconciliation
   Improvement Activity Attestation  
 2/28/18  Individual quality reporting consent submission 

Data file merging and format assistance available

All NACOR participants with data from multiple sources must submit data files merged and in xml format to AQI’s data submission portal. Services are available for practices that need merging and formatting assistance. If you need help merging or formatting your data file, email askaqi@asahq.org to schedule a conference call. The deadline to request this service is December 15.

Reporting Measures MIPS 76 and AQI 32 - Central Line Measures

During the past year the Anesthesia Quality Institute (AQI) and ASA’s Quality and Regulatory Affairs Department have received questions regarding the following measures:

  • MIPS #76: Prevention of Central Venous Catheter (CVC)-Related Bloodstream Infections
  • AQI #32: Composite Procedural Safety for Central Line Placement

Reporting either one of these measures is intended for clinicians who attempt central venous cannulation insertions. As paraphrased from the ASA CROSSWALK (p. vi of 2017 edition): Anesthesiologists may report codes for diagnostic or therapeutic procedures in addition to the anesthesia code for the primary operative procedure. When an anesthesia provider administers anesthesia in support of procedures like an insertion of a central venous access device, the appropriate anesthesia code should be reported.

Therefore, when reporting these measures to NACOR, the following applies: If the anesthesiologist places the line, the surgical CPT should be placed in the CPTValue section of the xml data file. If the anesthesiologist provides anesthesia for the line placement, the anesthesia CPT code should be placed in the CPTAnesValue.

For more information, email askaqi@asahq.org.

Consent forms required for 2017 individual quality reporting

The Centers for Medicare & Medicaid Services (CMS) requires AQI’s NACOR to collect consent forms from each Eligible Clinician who is enrolled in individual quality reporting for 2017. Practice champions and additional contacts of practices enrolled in individual reporting should expect to receive communication from AQI next week regarding the consent collection process. Log into your NACOR Dashboard to determine your quality reporting option.

Importance of submitting appropriate measure codes

When preparing your NACOR data submission, make sure to carefully review the CPT codes included in each measure. AQI recently learned that some practices’ measure results were not displayed in their NACOR dashboards as the practices expected because their data submissions did not contain appropriate CPT codes. AQI’s NACOR can only accept CPT codes included in the specifications for each measure. For example, if a given measure requires ASA CPT codes, NACOR cannot accept surgical CPT codes for that measure. If appropriate CPT codes are not submitted, NACOR cannot calculate the measures a practice intends on reporting. For more information on measure specifications, refer to the 2017 QCDR Measure Booklet and 2017 MIPS at a Glance.

2017 MACRA MIPS Information

NACOR Quality Reporting solutions

Reporting options: Individual and Group Practice Reporting (NEW in 2017)

Reporting mechanisms: Qualified Registry (QR) and Qualified Clinical Data Registry (QCDR)

MIPS Improvement Activity Suggestions

ASA’s suggested improvement activities for anesthesiology and pain medicine will help clinicians attest for credit in the improvement activities component of MIPS. The new performance category in 2017 rewards clinicians for care coordination, beneficiary engagement and patient safety.

MIPS: Am I Exempt or Required to Report?

CMS recently released a Quality Payment Program eligibility tool that allows eligible clinicians (ECs) to use their National Provider Identifier to check whether they are exempt from MIPS. The website also notes that if ECs are included in MIPS, they may be exempt with the second review of eligibility determinations in late 2017.

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