Updated 2022 CMS QRDA III Implementation Guide and Sample Files for Eligible Clinicians and Professionals

December 17, 2021
Policy Snapshot

The Centers for Medicare & Medicaid Services (CMS) has published an update to the 2022 CMS Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) and Sample Files. The 2022 CMS QRDA III IG outlines requirements for eligible clinicians and professionals to report electronic clinical quality measures for the calendar year (CY) 2022 performance period.

Updates to the 2022 CMS QRDA III IG:

  • Added to Table 14: UUID List for MIPS CY 2022 Performance Period eCQM Specifications for Eligible Professionals and Clinicians
  • The missing UUID of population 2 numerator exclusion for CMS156v10. This issue was reported in QRDA Known Issue QKI-6 Missing measure CMS646v2

CMS added these tables based on the CY 2022 Medicare Physician Fee Schedule Final Rule:

  • Table 15: Improvement Activities Identifiers for the MIPS CY 2022 Performance Period
  • Table 16: Promoting Interoperability Objectives and Measures Identifiers for the MIPS CY 2022 Performance Period
  • Table 17: Promoting Interoperability Attestation Statements Identifiers

CMS made minor edits to the 2022 CMS QRDA III Sample Files header comments.

Additional QRDA-Related Resources:

Find additional QRDA-related resources, as well as current and past IGs, on the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page. For questions related to this guidance, the QRDA IGs, or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project. See the QRDA Known Issues Dashboard for solutions under development for both QRDA I and III known technical issues. These known issues supplement the information in QRDA IGs and other supporting documents.