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RDA Category I Conformance Statement Resource CY 2019 CQM Reporting Updated December 2019Next Prerelease Notes November 2016 Initial posting of this resource for the CY 2016 reporting period February
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Who needs qrda category i conformance?

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QRDA Category I conformance is needed by healthcare providers, medical facilities, and other relevant entities that are involved in the exchange of clinical data.
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It is particularly useful for organizations that participate in quality reporting programs, such as the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) or the Electronic Health Record (EHR) Incentive Programs.
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These programs require the submission of clinical data in the QRDA Category I format to assess and improve the quality of care provided.
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Additionally, QRDA Category I conformance may be required for interoperability purposes, enabling the exchange of standardized clinical data between different healthcare systems and organizations.
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QRDA Category I conformance refers to the level of adherence to the Quality Reporting Document Architecture (QRDA) standards set by CMS for electronic submission of quality data.
Healthcare providers and eligible professionals participating in CMS quality reporting programs are required to file QRDA Category I conformance.
To fill out QRDA Category I conformance, providers need to ensure their electronic health record systems are collecting and generating the required quality data as per CMS specifications.
The purpose of QRDA Category I conformance is to standardize the format and submission of quality data to CMS for quality reporting programs.
Information such as patient demographics, diagnosis codes, procedure codes, quality measure data, and other relevant clinical information must be reported on QRDA Category I conformance.
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