The Centers for Medicare & Medicaid Services (CMS) has published the 2022 CMS Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG), Schematron, and Sample Files for Eligible Clinicians and Eligible Professionals Programs. The 2022 CMS QRDA III IG outlines requirements for eligible clinicians and eligible professionals to report electronic clinical quality measures (eCQMs) for the calendar year (CY) 2022 performance period for these programs:

  • Quality Payment Program: Merit-based Incentive Payment System (MIPS) and Alternative Payment Models
  • Primary Care First
  • Medicaid Promoting Interoperability

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

  • Guidance and conformance statements related to the Comprehensive Primary Care Plus quality reporting has been removed.
  • Updates to Table 14 to include the universally unique identifier list for the MIPS CY 2022 performance period eCQM specifications for eligible clinicians and eligible professionals.

Changes to the 2022 CMS QRDA III Schematron:

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

Changes to the 2022 CMS QRDA III Sample Files:

  • Sample files have been updated to support updates as outlined in this version of the IG.

Please note: We will release a subsequent publication based on the publication of the 2022 Physician Fee Schedule Final Rule in fall 2021. Updated measure tables and other content may change in the IG based on the publication of the Final Rule.

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.

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).