Quality Reporting Office Hours
June 25, 2021

Quality Reporting Office Hours

AQI's regularly scheduled Quality Reporting Office Hours are scheduled at 11 a.m. Tuesday, July 13. The June Office Hour recording and slides are available on the AQI website.

If there are any topics you would like us to discuss, please email askaqi@asahq.org by Monday, July 12 at noon CDT.

Anesthesia Quality and Patient Safety Meeting registration open

Join us on July 17 for a new virtual event featuring renowned practitioners who are passionate about ensuring safe care before, during, and after surgery. Participate and discover strategies and innovations for optimizing patient care, decreasing burnout, reducing medical errors, and improving a culture of safety. Click here for the meeting agenda.

Registration closes July 14. Register now.

Review your NACOR dashboard

Remember to review your 2021 quality reports in the NACOR dashboard. For practices that have uploaded a new data file, AQI encourages a member of your practice to review the NACOR dashboard as it allows you to monitor your providers' performance, as well as pinpoint any problems with the data and make necessary corrections prior to data submission deadlines.

Data completeness requirements for the 2021 MIPS Performance Period are:

  • Submit 12 months of data (January – December 2021).
  • Report a minimum of six measures with at least one outcome or high priority measure.
  • Measure must meet the 20-case minimum to be scored.
  • Reporting rate must be at least 70% of all eligible cases across all payers for each measure reported.

As a reminder, section 8 of the Addendum for Quality Reporting to the NACOR Participation Agreement states that your practice "and each EC agree, and Participant shall require each EC, to review his/her measure results in AQI at least four times a year and provide timely feedback to AQI on the measures that will be reported on the EC's behalf."

If there are questions about the dashboard results, submit a ticket to nacorsupport@asahq.org.

2021 measure benchmarks updated

The Centers for Medicare & Medicaid Services (CMS) identified and corrected an error with the decile outputs affecting the 2021 historical quality measure benchmarks file. This issue affected every measure in the benchmarks file. As a result of the correction, the range of performance rates for a given decile have shifted down one decile.

For example:

  • The range of performance rates that were previously identified for Decile 5 (eligible for 5 – 5.9 points) now show correctly as the range of performance rates for Decile 4 (eligible for 4 – 4.9 points).
  • The range of performance rates that were previously identified for Decile 8 (eligible for 8 – 8.9 points) now show correctly as the range of performance rates for Decile 7 (eligible for 7 – 7.9 points).

For questions regarding the update, contact the Quality Payment Program at 1 (866) 288-8292 or by email at QPP@cms.hhs.gov (Monday – Friday 8 a.m. to 8 p.m. ET). To receive assistance more quickly, please consider calling during non-peak hours—before 10 a.m. and after 2 p.m. ET.

2021 Reporting Deadlines

NACOR Registration: October 1, 2021

January through November 2021 data submission: January 31, 2022

Individual Quality Reporting Consent Submission: January 31, 2022

Improvement Activity Attestation: January 31, 2022

CMS Opt-Out for Individual Reporting: January 31, 2022

TIN/NPI Reconciliation: January 31, 2022

All data submissions: February 15, 2022

Contact AQI

Register: qcdr@asahq.org

NACOR Dashboard support: NACORSupport@asahq.org

Ask AQI: AskAQI@asahq.org

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