Proposed quality payment rule could create snares for EHR quality reporters

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers proposed Quality Payment Program quality reporting changes affecting clinicians who use EHR systems to report electronic clinical quality measures. It discusses the number of measures needed for full credit, the need to confirm measure availability and version alignment in EHR systems, and the broader reporting options practices may need to consider when EHR-based reporting is incomplete. It is relevant to physicians, practice managers, and coding or quality reporting staff involved in MIPS/QPP preparation and vendor review.

Why This Topic Matters

Clinicians and practices using EHR-based quality reporting need to understand how measure availability and version currency can affect whether they receive full credit under the proposed rule. The article helps readers assess whether their systems and reporting workflows are ready for current quality-reporting expectations.

Article Sections

  1. Quality Payment Program proposal and EHR quality reporting

    Introduces the proposed quality-reporting expectations under the Quality Payment Program and the role of EHR-based quality measures. It outlines the general reporting context for clinicians and practices.

  2. Measure availability and reporting limitations

    Discusses situations where an EHR may not contain enough applicable measures to satisfy reporting needs. It also notes the need to consider other reporting approaches when EHR coverage is limited.

  3. Electronic clinical quality measure version concerns

    Focuses on the issue of outdated measure versions in EHR systems and why version alignment matters during the performance period. It emphasizes the importance of confirming vendor support for current measure updates.

  4. Vendor review and reporting alternatives

    Covers the recommendation to verify EHR vendor capabilities and explore alternative reporting methods if updates are unavailable. It also points readers toward related educational resources.

What You Will Learn

  • How the proposed Quality Payment Program affects EHR-based quality reporting
  • Why measure availability in an EHR system matters for reporting readiness
  • What role electronic clinical quality measure versioning plays in performance-period reporting
  • Why practices may need to review vendors and consider alternative reporting methods

Who Should Read This

  • Physicians
  • Clinicians participating in quality reporting
  • Practice managers
  • Quality reporting staff
  • MIPS participants

Codes Discussed


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