Integrated Reporting

MNCM has been helping health care providers in primary care and across many specialties to collect, analyze and report clinical data for greater than 10 years through our Direct Data Submission (DDS) process. This allows providers to successfully fulfill both state and  federal reporting requirements. One example is reporting to the Centers for Medicare and Medicaid Services (CMS) for the Physician Quality Reporting System (PQRS) and Meaningful Use (MU) programs. Going forward, MNCM will now assist providers in the new Merit-based Incentive Payment System (MIPS) under Medicare’s Quality Payment Program (QPP). MNCM serves Minnesota, North Dakota and South Dakota.

Qualified Clinical Data Registry (QCDR)

MNCM submitted an application to CMS and was named a Qualified Clinical Data Registry (QCDR) for the 2017 performance year. MNCM is now able to assist clinician group practices in meeting MIPS (formerly PQRS) requirements through our enhanced DDS tool.

By submitting data to MNCM for the annual state requirements, you can also have MNCM submit eligible quality measures to CMS on your behalf – fulfilling two requirements with one data submission. MNCM can assist with both the Quality and Improvement Activities for CMS’s QPP program.

Click here to review the MNCM 2017 Registry Services Enrollment Form. MNCM encourages you reach out with any questions to determine the best option for your group. This form contains pricing information and December 31, 2017 is the deadline to sign up. This form can be filled out and submitted to MNCM by email to indicate your registry selections. To learn more about supporting MNCN through membership, click here.

Learn More

Get informed about QPP, MIPS and MNCM’s Registry reporting services that allows MNCM to report to CMS on your behalf with help from the resources and definitions below. Begin with a brief introductory webinar and corresponding presentation slides. MNCM released a second webinar with information on MNCM’s QCDR offerings. QCDR measures need to be submitted according to the timelines noted in the second webinar below to ensure successful submission by the CMS deadline of March 31, 2018. Check back as this page will periodically be updated with new and helpful definitions, links, webinars and other useful information.

• Introductory MIPS webinar and presentation: QPP program and MNCM’s QCDR, August 17, 2017

• MNCM’s QCDR Service webinar: Options, timelines and price, October 25, 2017


MNCM’s reporting to CMS will be based on specific provider needs, number of providers in the practice and the level selected by the medical group. Options include:

  • Seamless fulfillment of MIPS submission needs by choosing the six measures listed above through the DDS tool – this is an integrated, non-duplicative process.
  • Seamless fulfillment of MIPS basic submission with one test measure submitted through the DDS tool, also integrated and non-duplicative.
  • MNCM is able to offer a 3rd option that would allow providers to meet their MIPS requirement through additional data file submissions (formerly PQRS).  This option would allow providers to choose from more measures and may help maximize a positive payment adjustment.

QCDR Measures

Several MNCM developed measures have been adopted for national use by CMS for the QPP. Additional MNCM measures have been approved for use under our QCDR application. These measures can be used both locally and nationally for quality reporting.

QPP/QCDR Approved Quality Measures

2017 Performance Period

  • Colorectal Cancer Screening (Q113)
  • Optimal Diabetes Care (MNCM1)
  • Optimal Vascular Care (MNCM2)
  • Optimal Asthma Control (MNCM3)
  • Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) (MNCM4)
  • Ischemic (IVD): Use of Aspirin or other Antiplatelet (MNCM5)

2018 Performance Period

  • Colorectal Cancer Screening (Q113)
  • Optimal Asthma Control (Q398)
  • Depression Remission at Six Months (Q411)
  • Depression Remission at Twelve Months (Q370)
  • Ischemic (IVD): Use of Aspirin or other Antiplatelet (MNCM5)
  • Diabetes: Hemoglobin A1c (HbA1c) Control (<8.0%) (MNCM6)

Improvement Activities: MNCM can also submit attestations to CMS on up to four Improvement Activities (IA) that were completed for a minimum of 90 days. See the list of IA activities here.

MNCM can support Virtual Groups

MN Community Measurement can support Virtual Groups for the 2018 MIPS Performance Year (2019 submission). Virtual Groups are comprised of solo practitioners and groups of ten or fewer eligible clinicians who come together virtually to submit for MIPS. Participants in virtual groups must coordinate with their fellow practitioners and register with CMS by December 31, 2017. Please note, providers cannot change their status once the performance period begins. Please see the CMS website for more information and how to register at qpp.cms.gov.

How MNCM Can Help

MNCM can facilitate data submission to meet your MIPS requirements. Contact opportunities@mncm.org for details, fill out and submit this CONTACT FORM or contact MNCM at 612-746-4522 (press option #3).