decisionhealth Newsletters, Part B News - 2019 Issue 9 (September)
Registries, QCDRs face higher burdens in MIPS rule — and so do providers
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Article Overview
This article covers proposed CMS changes in the 2020 Medicare physician fee schedule that would affect qualified registries and qualified clinical data registries used for MIPS reporting. It explains the kinds of operational and reporting changes being considered, summarizes reactions from registry vendors and industry representatives, and discusses how the proposals could affect practices, costs, and participation in quality reporting programs. The piece is written for clinicians, practice administrators, registry vendors, and anyone following Quality Payment Program policy.
Why This Topic Matters
Changes to registry and QCDR requirements can influence which vendors remain viable, how practices report under MIPS, and whether reporting becomes more or less burdensome. The article helps readers understand the practical implications of CMS policy proposals before final rules are issued.
Article Sections
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Proposed CMS changes affecting registries and QCDRs
Introduces the policy proposals and explains the broader Quality Payment Program context. Summarizes why the changes could alter the reporting environment for MIPS participants and vendors.
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QCDR operational and measure-approval changes
Discusses proposed revisions to QCDR expectations, including service-related requirements, measure approval processes, and feedback/reporting frequency. Includes an example used by CMS to illustrate the proposed direction.
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QCDRs to report 3 categories
Covers the proposal for registries and QCDRs to support multiple MIPS categories and the potential effect on reporting models. Summarizes industry reactions, vendor responses, and exemptions mentioned in the article.
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What it means
Reviews stakeholder views on the possible impact of the proposals on participation, vendor strategy, and costs. Notes the article’s discussion of how final CMS decisions could shape the reporting landscape.
What You Will Learn
- What proposed CMS rule changes could affect registries and QCDRs
- How the article frames the possible impact on MIPS reporting participation
- What types of industry concerns and responses are being raised
- Why the proposals may matter for practices that rely on third-party reporting entities
Who Should Read This
- Clinicians participating in MIPS
- Practice administrators
- Quality reporting vendors
- Registry and QCDR operators
- Healthcare policy readers
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