Federal Reporting
Learn more about federal reporting with The PINNACLE Registry and the Diabetes Collaborative Registry, Qualified Clinical Data Registries.
The following information is provided for educational purposes only and should not be regarded as clinical or legal advice. Veradigm does not ensure the accuracy of this information and does not guarantee that following this information will result in receiving any government payment. It is the attesting healthcare providers responsibility to comply with all program requirements.
Medicaid Eligible Professional (EP) Promoting Interoperability (PI) Program
The last year to participate in the Medicaid Eligible Professional (EP) Promoting Interoperability (PI) Program was 2021.
Quality Payment Program (QPP)
The PINNACLE Registry® and the Diabetes Collaborative Registry® captures valuable data on coronary artery disease, hypertension, heart failure, atrial fibrillation and diabetes in the outpatient setting to provide clinical insights to practices. The registries have been approved as a single Qualified Clinical Data Registry (QCDR) for the 2022 Merit-based Incentive Payment System (MIPS) Program Year, offering eligible participating practices a free and easy solution to report MIPS data in 2022.
Practices must be currently submitting data via System Integration (SI) or Secure File Transfer Protocol (SFTP) to have the registries submit MIPS data to CMS on their behalf.
Benefits of reporting via the PINNACLE and Diabetes Collaborative QCDR:
- Reporting MIPS data to CMS is a FREE benefit to eligible practices submitting data through the registries
- Interoperability with most electronic health record (EHR) systems
- Flexibility to select your six Quality measures, Promoting Interoperability measures and Improvement Activities that are specific to your practice through an easy-to-use interactive MIPS Dashboard
- Practices have the option of reporting at the individual provider level or at the group level (>2 clinicians with at least one MIPS eligible provider, who have reassigned their Medicare billing rights to a single TIN)
- When a practice reports as a group, their data is scored by CMS at the practice level. Group reporting also means that performance data on Care Compare is posted at the group level, not individual provider level.
- Frequent feedback and monitoring: Participants receive access to quality improvement tools and clinical support, as well as monthly benchmarking reports that include registry and CMS benchmarks for comparison purposes.
Quality Measures
Measures indicated as available for public reporting on Care Compare are required to meet certain standards set by CMS. These measures must be statistically valid, reliable, accurate, comparable across submission mechanisms and meet the minimum reliability threshold to be included in the Provider Data Catalog. The measures are posted publicly in plain language, making them easier to understand. Measures in their first two years, measures with fewer than 20 reporters, non-risk adjusted QCDR outcome and non-proportional measures are not available for public reporting.
2022 Program Year
Details on the CMS approved 2022 QPP measures for the PINNACLE Registry and Diabetes Collaborative Registry QCDR are below:
2022 Clinical Data Registry QPP Timeline
Requesting use of the Registries for Reporting
Eligible providers who are actively submitting data to the PINNACLE Registry or The Diabetes Collaborative Registry can request we report MIPS data on their behalf to CMS via the PINNACLE Registry and Diabetes Collaborative Registry QCDR. To initiate this, clinicians must complete an electronic data release consent form (eDRCF). Groups reporting will only need to sign one eDRCF while individual providers are required to submit one eDRCF per reporting provider.
The eDRCF collects clinician and group consent. This is an annual requirement by CMS that allows the QCDR to release data to CMS on the clinicians’ or groups’ behalf. Only data for eligible providers and groups will be submitted to CMS if the QCDR receives a completed eDRCF by the specified deadline. Starting in 2022, all MIPS participants will be required to submit their CMS 1500 form for tax identification number validations.
For more information, see our MIPS Frequently Asked Questions.
Additional Information
- 2022 QPP Final Rule Fact Sheet
- 2022 QPP Final Rule External FAQs
- 2022 MIPS Checklist
- If you have questions about the Clinical Data Registries and participating in MIPS, contact the Clinical Data Registries Support Team at (833) 644-7466 or registries@veradigm.com
- If you have an inquiry regarding the reporting requirements, payment adjustments and performance feedback reports please contact CMS, available Monday - Friday 8:00 a.m. - 8:00 p.m. ET by phone 1-866-288-8912 (TRS:711) or email at QPP@cms.hhs.gov.
- For more information about MIPS and how to get started please visit https://qpp.cms.gov/