The AAAAI Allergy, Asthma and Immunology Quality Clinical Data Registry

The AAAAI Allergy, Asthma and Immunology Quality Clinical Data Registry
The AAAAI Allergy, Asthma and Immunology Quality Clinical Data Registry (AAAAI QCDR) in Collaboration with ArborMetrix, is a CMS approved registry for the Merit Based Incentive Payment Schedule (MIPS) reporting program under the Medicare Access and CHIP Reauthorization Act (MACRA). The AAAAI QCDR is the only MIPS reporting option with allergen immunotherapy measures available for reporting and is designed as a practice improvement tool.

With the registry, you can fulfill
MIPS reporting - all three categories that require reporting can be satisfied via the AAAAI QCDR: Quality, Improved Activities, and Advance Care Information. See the MIPS reporting criteria section below.
Report on Specialty Measures – the registry offers both, general care measures and specialty-specific measures intended to assist allergy/immunology physicians (groups and individuals).
Improve practice operations – foster improvement and manage your quality scores.

1.    Quality (formerly PQRS program) – report up to 6 quality measures, include at least one outcome measures, for full calendar year. See the 2018 AAAAI QCDR Measures List.
2.    Advancing Care Information (ACI) (formerly Meaningful Use program) – meet the five required measures for a minimum of 90 days. See the CMS ACI Measures List.
3.    Clinical practice improvement activities – (new performance category) – fulfill two improvement activities (for solo or groups less than 15 providers); or four improvement activities (for groups with 15 or more providers) for a minimum of 90 days. See the CMS Improvement Activities List.
4.    Resource use (formerly Value Modifier program) – Report on the new episode-based Measures: Medicare Spending Per Beneficiary measures OR Total Per Capita Costs for All Attributed Beneficiaries measures. Cost Measures details available on the CMS Resource Page - Cost Section

CMS has put together a helpful fact sheet explaining and providing examples of each MIPS performance category scoring calculation. Each category has its own scoring rules that counts toward the overall MIPS score. Two simple tips to obtain a better score: (1) report on measures that are most relative to the services you provide (not the easiest to report); and (2) take advantage of the additional bonus or credit points, because it DOES make a difference. Reporting on additional improvement activities and public health measures, using a CERHT edition 2015, and submitting data for more than 90 days will help you boost your MIPS score AND be considered for a positive payment adjustment! Access the CMS Registry/QCDR Scoring Explainer sheet here.

For 2018 reporting year, there are 25 quality measures total (17 MIPS measures + 8 AAAAI homegrown* measures) available in the AAAAI QCDR. See full measures specifications.
*These homegrown measures the AAAAI developed are more relevant to the allergy/immunology specialty care and therefore, eligible clinicians achieve a better performance rate.

HOW TO REGISTER: registration open on April 2018.  Details to come soon!
For 2017 year reporting, data submission ends on March 31, 2018
1. Go to the AAAAI QCDR MedConcert page and click on “REGISTER” (if you are a new user) and create a free MedConcert account; or click on “LOG IN” (if you have previously used the MedConcert platform).
2. Once logged-in, under the APPS tab, search for and download the AAAAI Clinical Data Registry App or AAAAI QCDR app (choose between the individual reporting app or the group reporting app).
3. For individual reporting, you will be asked to enter your individual NPI, or TIN for group reporting.  
Please know, that in order to report as a group via QCDR, you MUST register you TIN in the CMS Enterprise Portal between April 1 and June 30, 2017 to notify CMS that you have chosen to report via QCDR. Otherwise, your TIN won’t be recognized in the AAAAI QCDR app.

General inquiries, please mail for more information.

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