The 2018 MIPS Registry List: 3 ways to decide if Registry/QCDR reporting is right for you

2018 MIPS Registry List

2018 MIPS Registry List: Why Choose a Registry or QCDR

Are you evaluating your strategy for 2018 MIPS reporting? With penalties and incentives ramping up in 2018, many organizations are looking toward implementing a more comprehensive and sustainable approach. But with the list of MIPS Registries and Qualified Clinical Data Registries, claims-based submission, EHR submission, the Web Interface option, and the new CMS attestation portal for reporting Advancing Care Information and Improvement Activities, it can be hard to understand the pros and cons of each submission mechanism. Read on to learn the top reasons we see providers choose to submit through a Registry or QCDR. Do these characteristics match your organization?

Access to specialty measures

Many providers who have specialists outside of primary care choose turn to the list of 2018 Registries and QCDRs to fulfill reporting needs. This is because Registry reporting provides access to 249 measures across specialties in 2018, compared to 53 EHR measures, 74 claims-based measures, and 15 web interface measures. The EHR measure set can become even more constrained if

In addition, Qualified Clinical Data Registries on the approved list can offer access to additional measures outside of the MIPS measure set, referred to as QCDR measures. QCDRs included on the CMS list who over their own alternative measures have completed a separate approval process to include additional specialty-specific measures in their measure set.

Providers who have only primary care doctors sometimes find it easiest use their EHR for MIPS measure reporting, since the most common primary care measures can be found in some EHR systems, and this simplifies the use of technology to one system.

If you want to see the full list of measures relevant to your specialty, you can download our excel spreadsheet and filter by specialty here!

Download 2018 MIPS Measures  Excel Spreadsheet

Visibility into data

Depending on the Registry or QCDR you select from the 2018 list, you may be able to see your MIPS data and score on an ongoing basis. This is a key advantage of Registry and QCDR reporting, so make sure your vendor provides you with a live dashboard to view performance results. This allows you to set goals and track progress towards them, rather than crossing your fingers that the data looks good at the end of the year.

In particular, we see many providers choosing to switch over to Registry or QCDR reporting from claims-based reporting because of the lack of visibility into their data and score when submitting it to CMS on a claim. The good news is that if you currently do claims-based reporting, you can use the exact same data to submit via registry, but you have the advantage of being able to see where you stand on measure performance and scoring throughout the year. This can bring significant peace of mind to those who are responsible for ensuring successful reporting.

Performance improvement opportunities

We see groups moving towards Registry and QCDR reporting as performance becomes more closely tied with reimbursement. This is because some of the Registries and QCDRs on the 2018 list give you a higher level of breadth and flexibility to capture all the relevant data for submission, for the following reasons:

  • EHR measures can only pull from certain EHR fields, and cannot be augmented with additional information
  • Claims-based measure results must be recorded on the claim when submitted to CMS and cannot be updated after the fact if data was forgotten
  • Web interface measures are reported using a sampling methodology, meaning that your group will get a list of patients and you must report on a certain number of them

With Registry and QCDR reporting, you can look at your results and iterate on them, updating historical data to make it more accurate and augmenting with additional data, for example form text fields.

Providers who are looking to just do that minimum sometimes elect to use their EHR or claims-based submission mechanism, especially if that is what they have done in the past, but we often see those providers who care most about performance turning to a Registry or QCDR for more advanced analytics and flexibility.


You can find the list of 2018 Qualified Registries and QCDRs for MIPS!


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Further reading:
6 ways to improve MIPS quality performance with the data you already have
MIPS exceptional performance bonus: how much could you earn?

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