The draft 2022 Centers for Medicare & Medicaid Services (CMS) Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) and Schematron for Eligible Clinicians and Eligible Professionals Programs are now available for public comment starting on May 27, 2021 and ending on June 17, 2021. The 2022 CMS QRDA III IG outlines requirements for eligible clinicians and eligible professionals to report electronic clinical quality measures for the calendar year 2022 performance period. Visit the ONC Project Tracking System (Jira) website to submit public comments by June 17, 2021.

The draft 2022 CMS QRDA III IG contains these high-level changes, as compared with the 2021 CMS QRDA III IG:

  • Relevant updates have been made for the Comprehensive Primary Care Plus (CPC+) Model.
  • Relevant updates have been made for the Primary Care First (PCF) Model.
  • Updates from the recently published 2021 CMS QRDA III IG v1.3 to support Merit-based Incentive Payment System (MIPS) Alternative Payment Model (APM) Performance Pathway (APP) have been carried forward to this draft.

Changes to the 2022 CMS QRDA III Schematron:

  • The Schematron has been updated to support conformance statement updates as outlined in this draft version of the IG.

How to submit comments:

  • Ticket number: QRDA-991.
  • You must have a Jira account to submit a comment.
  • We will accept comments until 5:00 p.m. ET on June 17, 2021.

Please note, these are draft documents and the contents are subject to change. Content may change based on the final rule and updated measure tables are anticipated post-final rule publication. We look forward to receiving your feedback on the draft 2022 CMS QRDA III IG and Schematron.

Additional QRDA-Related Resources:

Find additional QRDA-related resources, as well as current and past implementation guides, on the Electronic Clinical Quality Improvement (eCQI) Resource Center QRDA page. For questions related to this guidance, the QRDA Implementation Guides, or Schematrons, visit the ONC Project Tracking System (Jira) QRDA project.

About Author

Healthcentric Advisors
As the New England Quality Payment Program Support Center, Healthcentric Advisors assists New England-based physician and other eligible clinical practices to prepare for and participate in the new Quality Payment Program (QPP), established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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