Get the free Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry
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This document serves as an attestation that a non-physician clinician operates under the direct supervision of an AAD member, requiring member and clinician details, signatures and contact information.
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How to fill out attestation for non-physician clinician
How to fill out Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry
01
Obtain the Attestation form from the AAD’s PQRS Registry website.
02
Fill in your personal information, including your name, title, and NPI number.
03
Specify your non-physician clinician role (e.g., nurse practitioner, physician assistant).
04
Indicate the reporting period for which you are attesting.
05
Select the measures you are participating in.
06
Review the requirements for participation carefully.
07
Sign and date the form to certify the accuracy of the information.
08
Submit the completed Attestation form according to AAD instructions.
Who needs Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry?
01
Non-physician clinicians participating in the AAD's PQRS Registry.
02
Nurse practitioners and physician assistants working in dermatology.
03
Clinicians who are required to report quality measures for Medicare.
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What is Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry?
Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry is a formal declaration by non-physician clinicians indicating their participation in the American Academy of Dermatology's Physician Quality Reporting System (PQRS) Registry, which aims to improve quality of care through reporting on specific quality measures.
Who is required to file Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry?
Non-physician clinicians, such as nurse practitioners and physician assistants, who wish to participate in the PQRS and report their quality measures are required to file this attestation.
How to fill out Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry?
To fill out the attestation, non-physician clinicians must gather their quality measure data, complete the required forms available on the AAD website, and submit the attestation before the specified deadline.
What is the purpose of Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry?
The purpose of attestation is to officially document and verify participation in the PQRS initiative, which helps to ensure adherence to quality standards and facilitates access to potential incentives for quality reporting.
What information must be reported on Attestation for Non-Physician Clinician Participation in the AAD’s PQRS Registry?
Clinicians must report their individual quality measure data, including the number of patients seen, the measures they are reporting on, and any outcomes or results as required by the PQRS guidelines.
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