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Program Year 2014 Quality Reporting Document Architecture (QRDA) III Submission Errors with Incorrect Program Name

Submission of quality reporting data for Program Year 2014 began on January 1, 2015. A number of organizations have submitted Program Year 2014 QRDA III files with the incorrect CMS Program Name extension within the information Recipient data element. The information Recipient represents the CMS Eligible Professional (EP) program to which the report is being submitted. You must select the Program Name that correctly applies to your submission in order to ensure that CMS properly analyzes your quality reporting data.

Valid CMS Program Names are identified in the table below and can be found in the 2014 QRDA III Implementation Guides for Eligible Professionals Clinical Quality Measures, Volume 2, Section 1.1.4. Your QRDA 3 submission file must indicate the correct Program Name in order to receive credit for the specific program to which you intended to report.

Value Set: CMS Program Name 2.16.840.1.113883.3.249.14.101
Specifies the CMS Program for QRDA-III report submissions.
Code Code System Code System OID Print Name
CPC CMS Program 2.16.840.1.113883.3.249.7 CPC
PQRS_MU_INDIVIDUAL CMS Program 2.16.840.1.113883.3.249.7 PQRS Meaningful Use Individual
PQRS_MU_GROUP CMS Program 2.16.840.1.113883.3.249.7 PQRS Meaningful Use Group
MU_ONLY CMS Program 2.16.840.1.113883.3.249.7 Meaningful Use Only

Failure to submit your QRDA III files with the correct Program Name listed in the informationRecipient data element of your file may result in a negative payment adjustment for Program Year 2014.

For more information about the QRDA III reporting, please refer to the 2014 QRDA III Implementation Guides for Eligible Professionals Clinical Quality Measures

You may also contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) from 7:00 a.m. to 7:00 p.m. CST Monday through Friday, or via email to Qnetsupport@hcqis.orgfor additional assistance with submitting your QRDA III submission files.  To avoid security violations, do not include personal identifying information, such as Social Security Number or TIN, in e-mail inquiries to the QualityNet Help Desk.

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