nacor user guide for 2016 quality reporting
TRANSCRIPT
Revised 8/1/16
NACOR USER GUIDE FOR
2016 QUALITY REPORTING
Please note the information contained within this
document applies to the 2016 PQRS reporting year only.
This guide will be updated in 1st quarter 2017 to reflect the
changes in the 2017 PQRS program.
Revised 8/1/16
©2016 Anesthesia Quality Institute. All rights reserved. Please contact the Anesthesia Quality Institute at
[email protected] for permission to use any of the information in this document. Updated August 1, 2016
Table of Contents
PQRS Reporting – Keys to Success .............................................................................................. 3
2016 Quality Reporting Options – Qualified Registry versus Qualified Clinical Data Registry . 5
Selecting your Quality Reporting Option ....................................................................................... 5
Quality Reporting Contracts and Fees .......................................................................................... 6
Selecting Your Measures – Qualified Registry: ............................................................................ 7
Qualified Registry Reporting Requirements ................................................................................. 8
Cross-Cutting Measures ................................................................................................................ 8
Sample Qualified Registry Data Collection Form ......................................................................... 9
Selecting Your Measures - Qualified Clinical Data Registry: ..................................................... 10
QCDR Reporting Requirements................................................................................................... 10
Sample QCDR Data Collection Form........................................................................................... 11
Quality Reporting – Roles and Responsibilities ......................................................................... 12
Creating Your Data File ................................................................................................................ 14
NACOR Minimum Data Fields...................................................................................................... 15
2016 QR/QCDR NACOR XML Specifications ............................................................................. 16
Uploading Data to NACOR ........................................................................................................... 29
File Review and Notification ........................................................................................................ 29
Further Support ............................................................................................................................ 30
Data Transmission ....................................................................................................................... 30
FTP Folder Structure .................................................................................................................... 31
2016 Quality Reporting Deadlines ............................................................................................. 32
Quality Reporting Data Reports .................................................................................................. 33
Resources ..................................................................................................................................... 39
Page 3 of 39
©2016 Anesthesia Quality Institute. All rights reserved. Please contact the Anesthesia Quality Institute at
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Disclaimer and Copyright Statement
Participation in the ASA® Quality Service does not guarantee satisfactory participation in the
Centers for Medicare and Medicaid Services (CMS) Physician Quality Reporting System
(PQRS) program. Successful submission to CMS is contingent upon each individual eligible
provider (EP) and/or practice meeting the PQRS program requirements and the timeliness,
quality, and accuracy of the data they provide for reporting. The information provided is not
to be construed as practice management or legal advice. Every reasonable effort has been
made to ensure the accuracy of the information presented at the time of posting, but the
American Society of Anesthesiologists (ASA), and its related organization, the Anesthesia
Quality Institute (AQI) do not warrant or guarantee that the information presented is
exhaustive or error-free. AQI and ASA further disclaim all liability for loss or damage incurred
by third parties arising from the use of the information. Please consult your legal advisor or
other qualified professional for guidance and information specific to your situation.
The performance measures (Measures) and this guidance are not clinical guidelines, do not
establish a standard of medical care, and have not been tested for all potential applicants.
ASA and AQI shall not be responsible for any use of the Measures or guidance materials. The
Measures and guidance, while copyrighted, can be reproduced and distributed, without
modification, for non-commercial purposes, e.g., use by health care providers in connection
with their practices. Commercial use is defined as the sale, license, or distribution of the
Measures or guidance for commercial gain, or incorporation of the Measures or guidance
into a product or service that is sold, licensed or distributed for commercial gain. ASA and
AQI encourage use of the Measures and guidance by other health care professionals, where
appropriate. Please contact the Anesthesia Quality Institute at [email protected] before
using information contained in this document to ensure proper permissions are obtained.
Limited proprietary coding is contained in this guidance for convenience. Users of the
proprietary code sets should obtain all necessary licenses from the owners of these code
sets. ASA and AQI disclaim all liability for use or accuracy of any Current Procedural
Terminology (CPT®) or other coding contained herein. THE MEASURES AND GUIDANCE ARE
PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.
Page 4 of 39
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PQRS Reporting – Keys to Success UNDERSTAND
o PQRS Reporting Requirements (number of measures required, number of NQS
domains and number outcome measures, if applicable)
o PQRS Reporting Mechanisms (Qualified Registry, Qualified Clinical Data
Registry)
o Roles and Responsibilities (pages 12-13)
IDENTIFY
o Measures that are reportable by all providers in your practice
COLLECT
o Billing and Administrative Data along with measure codes
SUBMIT
o Have the measures data that you collected digitized and sent to AQI in an XML
format
REVIEW
o Your practice’s Quality Reporting Reports on the AQI website to track measure
compliance for your providers
Quality Reporting Virtual Office Hours
Attend our regularly scheduled virtual office hours offered the second Tuesday of each
month at 11 a.m. (CST). During office hours’ members of the ASA staff provide general
announcements regarding Quality Reporting. Q&A session follows the announcements.
2016 Dates for Virtual Office Hours:
September 13
October 11
November 8
December 13
Page 5 of 39
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[email protected] for permission to use any of the information in this document. Updated August 1, 2016
2016 Quality Reporting Options – Qualified Registry versus
Qualified Clinical Data Registry For 2016, ASA is offering two Quality Reporting Options: Qualified Registry (QR) and
Qualified Clinical Data Registry (QCDR). Both of these options are considered individual
reporting options. For 2016, ASA is not offering the Group Practice Reporting Option
(GPRO).
The differences between the QR and QCDR are listed below:
Qualified Registry (QR) Qualified Clinical Data
Registry (QCDR)
Number of Measures to be
reported
9 9
Number of NQS Domains 3 3
Number of Outcome Measures to
be reported
0 2
Payers Medicare Part B FFS All Payers
Allows for MAV process to trigger Yes No
Cross-Cutting Measure required
for face-to-face encounters
Yes No
Types of Measures Available to
Report
PQRS only PQRS and ASA/QCDR
approved for use in the
QCDR
For both reporting options, eligible professionals (EP) must report on >50 percent of the
eligible cases for nine measures.
Selecting your ASA Quality Reporting Option Participating in Quality Reporting requires selection of the appropriate reporting option for
your practice. For 2016, ASA offers the Qualified Registry (QR) and the Qualified Clinical
Data Registry (QCDR).
The practice roster that you will complete will ask you to select QR or QCDR as your Quality
Reporting Option. The option you select is binding and cannot be changed for the 2016
reporting year.
Page 6 of 39
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Quality Reporting Contracts and Fees Quality Reporting requires you to complete both the National Anesthesia Clinical Outcomes
Registry (NACOR) and ASA Quality Reporting Agreements. Please be aware that if you are
currently a NACOR participant, you are not automatically enrolled in ASA Quality Reporting.
You must sign up for ASA Quality Reporting separately.
There are four contracts that are required for ASA Quality Reporting:
1. NACOR Participation Agreement
2. Business Associate Contract and Data Use Agreement
3. ASA Quality Reporting Agreement
4. Addendum for Quality Reporting to the National Anesthesia Clinical Outcomes
Registry Participation Agreement
There is also a practice roster that needs to be completed. Once we receive the completed
roster, an ASA Member Service Representative will analyze for membership status and
generate an invoice for any fees due.
Email the signed contracts and Practice Roster to [email protected].
Page 7 of 39
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Selecting Your Measures – Qualified Registry: Measure specifications provide the details of each measure. This includes the measure
description, type of measure (process/outcome), domain name, denominator criteria and
numerator options.
Denominator: Describes the eligible cases for a measure or the eligible patient
population.
Numerator: Describes the specific clinical action required by the measure for
performance.
Practices can only report on measures for which they bill the CPT codes listed in the
denominators.
2016 ASA Qualified Registry:
For 2016, the ASA Qualified Registry has been approved for 26 PQRS measures. Please
refer to the 2016 PQRS measure specifications.
The PQRS measures related to anesthesia providers are:
Measure Number
Measure Name
PQRS 44
CABG: Preoperative Beta-Blocker in Patients with
Isolated CABG Surgery
PQRS 76
Prevention of Central Venous Catheter (CVC) – Related
Bloodstream Infections
PQRS 404
Anesthesiology Smoking Abstinence
PQRS 424
Perioperative Temperature Management
PQRS 426
Post-Anesthetic Transfer of Care Measure: Procedure
Room to a PACU
PQRS 427
Post-Anesthetic Transfer of Care Measure: Procedure
Room to an ICU
PQRS 430
Prevention of Post-Operative Nausea and Vomiting
(PONV) – Combination Therapy
If your providers see patients in a preoperative clinic or do any inpatient hospital visits that
require billing E&M (Evaluation and Management) Codes, there may be additional PQRS
measures available for your providers to report.
Page 8 of 39
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Qualified Registry Reporting Requirements
Report at least nine (9) measures, covering at least three (3) of the NQS domains.
Report each measure for at least 50 percent of the EP’s Medicare Part B FFS patients
seen during the reporting period to which the measure applies.
Of the measures reported, if the EP sees at least one (1) Medicare patient in a face-to-
face encounter, the EP will report on at least one (1) measure contained in the PQRS
cross-cutting measure set.
If less than nine (9) measures apply to the EP, the EP would report on each measure that
is applicable AND report each measure for at least 50 percent of the Medicare Part B
FFS patients seen during the reporting period to which the measure applies.
Measures with a 0 percent performance rate would not be counted unless they are an
inverse measure.
Cross-Cutting Measures
Both individual EPs and group practices reporting via the qualified registry reporting
mechanism are required to report one (1) cross-cutting measure if they have at least one (1)
Medicare patient with a face-to-face encounter. CMS defines a face-to-face encounter as an
instance in which the EP bills for services that are associated with face-to-face encounters
under the Physician Fee Schedule (PFS).
Please reference the 2016 Cross-Cutting Measures list for broadly applicable measures that
are defined as cross-cutting and reference the 2016 PQRS list of Face-To-Face Encounter
Codes for the billable codes that identify face-to-face encounters for the purposes of 2016
PQRS reporting.
CMS will analyze claims data to determine if at least 15 cross-cutting measure denominator-
eligible encounters can be associated with the individual EP or group practice. If it is
determined that at least one (1) cross-cutting measure could have been reported but was
not, the individual EP with face-to-face encounters will be automatically subject to the 2018
PQRS payment adjustment.
Page 9 of 39
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Sample Qualified Registry Data Collection Form **Disclaimer: This is a sample QR (Qualified Registry) Data Capture Form. Not all PQRS
measures have been included on this form. This example contains measures from three
NQS domains. Practices can customize based upon their measure selection.**
Anesthesiologist: _____________________________________ Date of Service: _______/________/_______
Physical Status 1 2 3 4 5 6
Same MD, DOS and same patient. State Procedure: ___________________________________________
PQRS 44: CABG - Preoperative Beta-Blocker
4115F: Beta Blocker Administered within 24
hrs. prior to surgical incision
4115F 1P: Documentation of Medical Reason
for not administering Beta Blocker
4115F 8P: Beta Blocker not administered,
reason not otherwise specified
PQRS 424: Temperature Management
4255F: Anesthesia of 60 minutes duration or
longer
4559F: At least 1 body temperature > 35.5
degrees Celsius
4559F 1P: Documentation of medical reason for
not recording at least 1 body temperature > 35.5
degrees Celsius
4559F 8P: At least 1 body temperature > 35.5
degrees Celsius NOT recorded
G9654: Monitored Anesthesia Care
PQRS 76: CVC related Bloodstream Infections
6030F: All elements of sterile barrier
techniques followed
6030F 1P: Medical Reason for not following
sterile barrier techniques
6030F 8P: Sterile Barrier Techniques not
followed, reason not otherwise specified
PQRS 426: Transfer of Care to PACU
G9656: Pt transferred directly from
anesthetizing location to PACU
G9657: Transfer of care during an anesthetic to
the ICU
G9655: Transfer of Care Checklist Used
G9658: Transfer of Care Checklist NOT Used
PQRS 110: Preventive Care & Screening: Influenza
Immunization
G8482: Influenza Immunization administered
or previously received
G8483: Influenza immunization was not
administered for reasons documented by
clinician
G8484: Influenza immunization was not
administered, reason not given
PQRS 427: Transfer of Care to ICU
0581F: Pt transferred directly from
anesthetizing location to ICU
0583F: Transfer of Care Checklist Used
0583F 8P: Transfer of Care Checklist Not Used
PQRS 130: Documentation of Current Medications
(Cross Cutting)
G8427: Current medications obtained,
documented and reviewed
G8430: Medications not documented, Patient
not eligible
G8428: Current medications not
documented, reason not given
PQRS 430: Prevention of Post-Op Nausea and Vomiting
4554F: Pt received inhalational anesthetic agent
4556F: Pt exhibits 3 or more risk factors for
PONV
4558F: Pt received 2 prophylactic anti-emetic
agents
4558F 1P: Documentation of medical reason for
NOT receiving 2 anti-emetics
4558F 8P: Pt did NOT receive at least 2 anti-
emetics preoperatively and intraoperatively
PQRS 404: Smoking Abstinence
G9642: Current Cigarette Smoker
G9643: Elective Surgery
G9497: Seen preoperatively by
anesthesiologist or proxy prior to day of
surgery
G9644: Pt abstained from smoking
G9645: Pt DID NOT abstain from smoking
Page 10 of 39
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Selecting Your Measures - Qualified Clinical Data Registry: Measure specifications provide the details of each measure. This includes the measure
description, type of measure (process/outcome), domain name, denominator criteria and
numerator options).
Denominator: Describes the eligible cases for a measure or the eligible patient
population.
Numerator: Describes the specific clinical action required by the measure for
performance.
Practices can only report on measures for which they bill the CPT codes listed in the
denominators.
2016 ASA QCDR
For 2016, the ASA QCDR has been approved for 45 measures (19 ASA QCDR measures and
26 PQRS measures). The ASA QCDR measures were written by the ASA for use in the QCDR.
The PQRS measures are official measures from CMS. Please refer to the 2016 AQI QCDR
Measure specifications for details regarding the ASA measures and to the 2016 PQRS
specifications for PQRS measures.
QCDR Reporting Requirements
Report at least nine (9) measures available for reporting under a QCDR covering at least
three (3) of the NQS domains.
Report each measure for at least 50 percent of the EP’s patients. This includes case
data for all payers (not just Medicare).
Of these measures, the EP would report on at least two (2) outcome measures, OR if two
(2) outcomes measures are not available, report on at least one (1) outcome measure
and at least one (1) of the following types of measures – resources use, patient
experience of care, efficiency/appropriate use, or patient safety.
In meeting the criteria for reporting measures, participants can report on a combination
of PQRS and non-PQRS measures available to report through the respective QCDR.
Measures with a zero percent performance rate would not be counted unless they are an
inverse measure.
Cross-cutting measures are not required for the QCDR reporting option.
Page 11 of 39
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Sample QCDR Data Collection Form **Disclaimer: This is a sample QCDR Data Capture Form. Not all PQRS or non-PQRS QCDR
measures have been included on this form. This example contains measures from four NQS
domains and five outcomes measures. Practices must customize based upon their measure
selection.**
Anesthesiologist: _____________________________________ Date of Service: _______/________/_______
Physical Status 1 2 3 4 5 6
Same MD, DOS and same patient. State Procedure: ___________________________________________
PQRS 44: CABG - Preoperative Beta-Blocker
4115F: Beta Blocker Administered within 24
hrs. prior to surgical incision
4115F 1P: Documentation of Medical Reason
for not administering Beta Blocker
4115F 8P: Beta Blocker not administered,
reason not otherwise specified
ASA 10: Composite Anesthesia Safety
ASA10A: No Serious adverse event
ASA10B: Serious adverse event
PQRS 76: CVC related Bloodstream Infections
6030F: All elements of sterile barrier
techniques followed
6030F 1P: Medical Reason for not following
sterile barrier techniques
6030F 8P: Sterile Barrier Techniques not
followed, reason not otherwise specified
ASA 13: PACU Reintubation Rate
ASA13H: Procedure under General Anesthesia
by an SGA or ETT
ASA13J: SGA or ETT was removed in OR or PACU
ASA13A: Pt required new airway management
prior to PACU D/C
ASA13B: Pt did not require new airway
management
ASA13G: Pt received a planned trial of
extubation
PQRS 404: Smoking Abstinence
G9642: Current Cigarette Smoker
G9643: Elective Surgery
G9497: Seen preoperatively by
anesthesiologist or proxy prior to day of
surgery
G9644: Pt abstained from smoking
G9645: Pt DID NOT abstain from smoking
ASA 15: Composite Procedural Safety for Central Line
Placement
ASA15B: Pt did not experience arterial injury
ASA15A: Pt experienced arterial injury
PQRS 426: Transfer of Care to PACU
G9656: Pt transferred directly from
anesthetizing location to PACU
G9657: Transfer of care during an anesthetic
to the ICU
G9655: Transfer of Care Checklist Used
G9658: Transfer of Care Checklist NOT Used
ASA 16: Composite Patient Experience
ASA16A: Pt provided with survey to assess their
experience and satisfaction with anesthesia
ASA16B: Patient was NOT provided a survey
ASA16F: Pt unable to be surveyed (cognitive
impairment)
ASA16G: Unable to provide survey in patient’s
preferred language
ASA 8: Post-Operative Vomiting (Peds)
ASA08A: Pt received general anesthetic with
inhalational anesthetic for maintenance
ASA08B: 2 or more risk factors for POV
4558F: Pt received at least 2 prophylactic
anti-emetics of different classes pre-op and
intra-op
4558F 1P: Medical Reason for not
administering combination therapy (e.g.
intolerance)
4558F 8P: Combination therapy not
administered
ASA 38: New Corneal Injury not diagnosed in PACU
ASA38A: No New Exposure Keratitis or Corneal
abrasion in PACU or Recovery
ASA38B: NEW exposure keratitis or corneal
abrasion
Page 12 of 39
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Quality Reporting – Roles and Responsibilities (NACOR) is an approved Qualified Registry (QR) and Qualified Clinical Data Registry (QCDR)
for the Centers for Medicare & Medicaid Services (CMS) 2016 PQRS reporting. Regardless
of the reporting option chosen, participating in PQRS can be a challenging exercise requiring
coordination and input from multiple parties.
Each practice is ultimately responsible for:
Understanding PQRS reporting and performance requirements,
The quality of data submitted to NACOR
Monitoring PQRS reporting compliance via NACOR dashboard reports; and
Meeting NACOR deadlines (see page 30).
Because NACOR is dependent on the quality of data it receives from its participants, it is
important that each party understand their roles and responsibilities to submit the highest
level of data integrity as well as helping practices successfully meet PQRS reporting
requirements.
ASA/AQI Roles and Responsibilities:
Offer two methods for CMS PQRS reporting – QR and QCDR
Support a wide range of anesthesia measures for each reporting option and a variety of
practice settings
Provide resources to help practices navigate the complexities of PQRS reporting:
o Website resources
o Monthly webinars followed by Q & A
o Responses to measures questions via email: [email protected]
o Sample quality capture forms (see pages 9 and 11)
o Vendor list – AQI maintains a list of vendors on its website that have tested their
ability to meet NACOR’s file formatting and content requirements. Because each
practice is unique, practices are responsible for verifying a vendor’s ability to
successfully submit data on their behalf. AQI in no way endorses, certifies,
guarantees or warrants the services of any listed vendor.
o Dashboard reports to help practices monitor QCDR/QR measure compliance
o Submission of QR and QCDR files to CMS in accordance with regulatory requirements
Page 13 of 39
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Practice Roles and Responsibilities:
Chose a physician anesthesiologist or other quality champion to manage and oversee the
practice quality reporting activities. These activities typically include the following:
Select a reporting option – QCDR or QR
Identify measures that are reportable for all of the practice’s eligible providers
Operationalizing the data collection, data formatting, and data submission processes:
o Determine whether the practice will utilize the service(s) of a vendor(s) or in-house IT
staff. When making this decision a variety of factors may be considered including the
type of IT support available within the practice, the IT systems the practice already
has in place and the amount of time the quality champion can dedicate to the
project.
Check TIN and NPI numbers for completeness and accuracy
Be aware of and meet AQI deadlines (see page 30)
Take advantage of the resources ASA/AQI provides:
o Review online QR/QCDR reports on a monthly basis to identify potential gaps. Follow
up with your EPs, in-house IT staff or vendor(s), and take the necessary corrective
action.
o Participate in ASA Quality Reporting Virtual Office Hours
o Read AQI listserv communications and follow recommended actions
Responsibilities that often require collaboration between the Practice and its IT staff or
Vendor(s):
Establish a quality control process with the practice’s vendor(s) or in-house IT staff.
Merge data from multiple sources into one file prior to submission to AQI.
o If it is not possible to submit one merged file, and separate files from multiple
sources will be submitted, the champion should confirm with their vendor or in-house
IT staff that a uniformly named episode of care ID (page 19) is located in each file.
Prior to submission of files to NACOR, the practice and its vendor(s) or internal IT staff
should verify the accuracy of the file formatting, content, and inclusion of the episode of
care ID.
o Files that do not contain the necessary episode of care ID cannot be accurately
merged and therefore will be rejected by AQI.
o Files that do not meet NACOR’s file format or content requirements will not be
accepted.
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Creating Your Data File NACOR collects data from anesthesia practices and hospitals through data extracts
developed by software vendors or reports generated by the practice and/or hospital. Your
practice will have access to QR or QCDR reports which will assist you in monitoring your
providers’ measures compliance.
The minimum level of data required to participate in NACOR is Data Types 1 and 2 below.
Every anesthesia practice has this information available. Type 1 data is self-reported
through the AQI website. Type 2 data is available in any billing system. Type 3 data is the
applicable measure codes for each PQRS or ASA/QCDR Measure.
Data Type 1: Practice information: practice information, Practice Champion information,
data submission contacts (i.e., vendor or practice name), provider data (i.e., provider ID,
staff role, DOB, NPI, TIN, quality reporting option) and facility information (name, facility
location, facility type). SOURCE: The practice is issued a members-only login and the
information is entered via the AQI website. This information is collected one time, but
periodic updates are recommended to reflect group demographic changes.
Data Type 2: Case-specific data (minimum data requirement) in several tiers: simple (e.g.,
CPT code, anesthesia type, provider ID number, patient age), moderate (e.g., duration of
surgery, agents used). SOURCE: Administrative and billing data from the practice billing
software. Optional complex data (e.g., output from AIMS with vital signs, fluids, drug doses).
Data Type 3: Quality Reporting measure specific codes. Examples of the codes follow:
PQRS: Category II CPT or HCPCS codes (i.e., 6030F 1P or 0583F)
ASA/QCDR: ASA Measure codes (i.e., ASA11A or ASA16F)
Practices may use an AQI QCDR Ready Vendor or have their in-house IT staff create the XML-
formatted file (see pages 16-27). The table on page 15 shows the required minimum data
fields for Qualified Registry (QR) and Qualified Clinical Data Registry (QCDR) reporting
options.
XML file format testing is required prior to file submission. Please use the applicable XML
sample file validator.
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NACOR Minimum Data Fields
Data Element Location in
XML Schema
NACOR
(Declined
QR or QCDR)
Qualified
Registry
Qualified
Clinical Data
Registry
Unique Anesthesia Episode of Care
ID
<AnesthesiaRecordID>
Staff ID <StaffID>
Staff Role (MD, DO, CRNA, AA) <StaffRole>
Staff NPI Number <NPI>
Facility ID <FacilityID>
Date of Service <AnesthesiaStartTime>
Anesthesia Start Time <AnesthesiaStartTime>
Anesthesia End Time <AnesthesiaEndTime>
Patient Gender <Gender>
Patient age or Date of Birth
<DOB> or <Age>
Anesthesia Type (General, MAC,
etc.)
<AnesthesiaCategory>
ASA Physical Status (E Designator
when appropriate)
<ASAClass>
Surgical CPT Code <CPTValue>
Payment Code (i.e., Medicare) <PaymentCode>
PQRS Measure Number * <QCDRMeasure>
ASA Measure Number <QCDRMeasure>
PQRS Measure Code*
(i.e., 0581F)
<QCDRCodeValue>
ASA Measure Code
(i.e., ASA10A)
<QCDRCodeValue>
Modifier (1P or 8P, if applicable)* <QCDRModifier>
Denominator Exclusion*
<QCDRDenomExclusion>
ASA CPT Code (If billing vendor does
not collect Surgical CPT codes ok to
send ASA CPT code)
<CPTAnesValue>
ICD10 (Required if part of the
denominator criteria for a measure)
<ICDValue>
*Note: Measures reported for Qualified Registry (QR) should use the XML QCDR Node Set
Page 16 of 39
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2016 QR/QCDR AQI NACOR XML Specifications
XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<AnesthesiaRecords> Opening tag for all anesthesia records. This
tag contains no data.
<AnesthesiaRecords
xmlns="https://www.aqihq.or
g/AQIXMLResources/AQISche
ma.xsd">
N/A Yes Yes
<RecordHeader> Sub-element of the anesthesia records
element. This tag contains no data.
N/A Yes Yes
<PracticeID> Sub-element of the record header element.
The practice identification number generated
by AQI/ArborMetrix upon initial registration.
<PracticeID>3</PracticeID> Unique
practice
identifier
assigned by
AQI /
ArborMetrix
Incremental integer {1-
9999}
Number 4 Yes Yes
<CreatedBy> Sub-element of the record header element.
The name of the organization or entity who
created the file.
<CreatedBy>AQITestProcess<
/CreatedBy>
Organizatio
nal Name
generating
the file
Free-form text Character 150 Yes Yes
<CreateDate> Sub-element of the record header element.
The date and time the file was created.
<CreateDate>1900-01-
01T13:00:00.000</CreateDa
te>
Date/Time
the file was
generated
ISO 8601 Standard
Date/Time format
YYYY-MM-
DDThh:mm:ss[.mmm]
Date time 23 Yes Yes
</RecordHeader> Closing tag for the record header element.
This tag contains no data.
N/A Yes Yes
<AnesthesiaRecord> Sub-element of the anesthesia records
element. This tag contains no data.
N/A Yes Yes
<Demographic> Sub-element of the anesthesia record
element. This tag contains no data.
N/A Yes Yes
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<PatientID> Sub-element of the demographic element.
The patient specific identification number
generated or used by the anesthesia
practice's billing software to indicate which
patient the procedure/case was performed.
Note, this value should not be equal to and is
not the patient medical record number.
<PatientID>Patient123</Pati
entID>
Note: When PatientID value is
null use <PatientID
xmlns:nil="true" />
Unique
patient
identifier
(Not MRN)
Alphanumeric free-form
text
Character 25 No* No*
<DOB> Sub-element of the demographic element.
The month, day, and year on which the
patient was born.
<DOB>1900-01-01</DOB>
Note: When DOB value is null,
omit this element.
Patient date
of birth
ISO 8601 Standard Date
format
YYYY-MM-DD
Date 10 No† No†
<Gender> Sub-element of the demographic element.
The biological sex at birth. The World Health
Organization (WHO) summarizes the issue as
follows: "Sex refers to the biological and
physiological characteristics that define men
and women. Gender refers to the socially
constructed roles, behaviors, activities, and
attributes that a given society considers
appropriate for men and women." Oct 21,
2011.
<Gender>F</Gender> Patient sex F
M
Other
Unknown
Character 7 Yes Yes
</Demographic> Closing tag for the demographic element.
This tag contains no data.
N/A Yes Yes
<Procedure> Sub-element of the anesthesia record
element. This tag contains no data.
N/A Yes Yes
<ProcedureID> Sub-element of the procedure element. The
practice specific identification number
generated or used by the anesthesia
practice's billing software to indicate which
procedure/case was performed.
<ProcedureID>ProcedureID1<
/ProcedureID>
Unique
procedure
identifier
Alphanumeric free-form
text
Character 50 No* No*
<FacilityID> Sub-element of the procedure element. The
practice specific identification number
generated or used by the anesthesia
practice's billing software to indicate in what
facility the procedure/case was performed.
<FacilityID>FacilityID1</Facili
tyID>
Unique
facility
identifier
Alphanumeric free-form
text
Character 50 Yes Yes
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<ProcStatus> Sub-element of the procedure element. The
value specifying the state of the
procedure/case which was performed.
<ProcStatus>Emergency</Pr
ocStatus>
Procedure
Status
Ambulatory
Elective
Emergency
Emergent
Other
Unknown
Urgent
Character 10 Yes‡ Yes‡
<CPTSet> Sub-element of the procedure element.
Opening tag for the set of CPT codes. This tag
contains no data.
Note: When not submitting
surgical CPT codes, omit this
set.
N/A No No
<CPT> Sub-element CPT set element. Opening tag
for the CPT code data. This tag contains no
data. This tag is required only if it's parent tag
CPTSet is present.
N/A Yes Yes
<CPTRank> Sub-element of the CPT element. Order of
precedence for codes submitted. Rank 1 is
the CPT code representing the primary
procedure billed.
<CPTRank>1</CPTRank> CPT code
rank
Incremental integer {1-
9999}
Number 4 Yes Yes
<CPTValue> Sub-element of the CPT element. The Current
Procedural Terminology (CPT) code set
describes medical, surgical, and diagnostic
services and is designed to communicate
uniform information about medical services
and procedures among physicians, coders,
patients, accreditation organizations, and
payers for administrative, financial, and
analytical purposes.
<CPTValue>93313</CPTValu
e>
Category I &
III codes
Regular Expression: ^([0-
9]{4,4}[T0-9])$
Character 5 Yes Yes
<CPTModifier> Sub-element of the CPT element. CPT
modifiers provide additional information
about the procedure performed.
<CPTModifier>59</CPTModifi
er>
Note: When CPT modifier
value is null use <CPTModifier
xmlns:nil="true" />
Modifiers
for Category
I codes
Regular Expression: ^([A-
Z0-9]{2,2})$
Character 2 No No
</CPT> Closing tag for the CPT element. This tag
contains no data.
N/A
</CPTSet> Closing tag for the CPT set element. This tag
contains no data.
N/A
</Procedure> Closing tag for the procedure element. This
tag contains no data.
N/A
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<AnesthesiaCase> Sub-element of the anesthesia record
element. This tag contains no data.
N/A
<AnesthesiaRecordID> Sub-element for the anesthesia case
element. The primary key number internally
generated by the anesthesia practice from
the billing or electronic medical/health record
related to the episode of anesthetic care.
This is not the identifiable medical record
number
<AnesthesiaRecordID>Anesth
esiaRecordID1</AnesthesiaR
ecordID>
Unique
Anesthesia
Episode of
Care ID (an
anesthesia
case ID for
episode of
care)
Alphanumeric free-form
text
Character 50 Yes Yes
<AnesthesiaStaffSet> Sub-element of the anesthesia case element.
This tag contains no data.
N/A Yes Yes
<AnesthesiaStaff> Sub-element of the anesthesia staff set
element. This tag contains no data.
N/A Yes Yes
<StaffID> Sub-element of the anesthesia staff element.
The practice specific provider/staff
identification number generated or used by
the anesthesia practice's billing software to
indicate the provider/staff that participated
in the procedure/case.
<StaffID>StaffID1</StaffID> Provider ID Alphanumeric free-form
text
Character 50 Yes Yes
<NPI> Sub-element of the anesthesia staff element.
The standard unique health identifier for
health care providers as mandated by the
Health Insurance Portability and
Accountability (HIPAA) Act of 1996.
<NPI>1234567890</NPI> Provider NPI Provider NPI (National
Provider Identification)
Number
Number 10 Yes Yes
Page 20 of 39
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<Staff Role> Sub-element of the anesthesia staff element.
Identifies the provider credentials.
<StaffRole>MD-
Anesthesiologist</StaffRole>
Staff
credentials
Certified Anesthesiologist
Assistant
Certified Registered Nurse
in Anesthesia (CRNA)
DO-Anesthesiologist
Fellow (Anesthesiology)
MD-Anesthesiologist
Surgeon
Nurse Practitioner
Physician Assistant
Registered Nurse (RN)
Resident (Anesthesia)
Student Registered Nurse
in Anesthesia (SRNA)
Character 47 Yes Yes
</AnesthesiaStaff> Closing tag for the anesthesia staff element.
This tag contains no data.
N/A
</AnesthesiaStaffSet> Closing tag for the anesthesia staff set
element. This tag contains no data.
N/A
<AnesthesiaMethodSet> Sub-element of the anesthesia case element.
This tag contains no data.
N/A Yes Yes
<AnesthesiaMethod> Sub-element of the anesthesia method set
element. This tag contains no data.
N/A Yes Yes
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<AnesthesiaCategory> Sub-element of the anesthesia method
element. The anesthesia technique used for
the procedure/case.
<AnesthesiaCategory>Genera
l</AnesthesiaCategory>
Anesthesia
type
Neuraxial
Neuraxial-Combined
Spinal and Epidural
Neuraxial-Epidural
Neuraxial-Spinal
General Anesthesia
General Anesthesia-
Volatile Inhalational Agent
General Anesthesia-Total
Intravenous Anesthesia
Monitored Anesthesia
Care
Monitored Anesthesia
Care with Local
Anesthesia
Monitored Anesthesia
Care with Sedation
Monitored Anesthesia
Care with Topical
Anesthesia
Regional
Character 50 Yes Yes
<AnesthesiaStartTime> Sub-element of the anesthesia method
element. The month, day, and year on which
the procedure/case/episode of care took
place
Time when the anesthesia team assumes
continuous care of the patient and begins
preparing the patient for an anesthetic.
<AnesthesiaStartTime>1900-
01-
01T01:01:01</AnesthesiaSta
rtTime>
Date of
service &
anesthesia
start time
ISO 8601 Standard
Date/Time format
YYYY-MM-
DDThh:mm:ss[.mmm]
Date time 23 Yes Yes
<AnesthesiaEndTime> Sub-element of the anesthesia method
element. The month, day, and year on which
the procedure/case/episode of care took
place
Time at which anesthesiologist turns over
care of the patient to a post anesthesia care
team (either PACU or ICU).
<AnesthesiaEndTime>1900-
01-
01T01:01:01</AnesthesiaEn
dTime>
Date
anesthesia
ended &
anesthesia
end time
ISO 8601 Standard
Date/Time format
YYYY-MM-
DDThh:mm:ss[.mmm]
Date time 23 Yes Yes
</AnesthesiaMethod> Closing tag for the anesthesia method
element. This tag contains no data.
N/A
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
</AnesthesiaMethodSet> Closing tag for the anesthesia method set
element. This tag contains no data.
N/A
<CPTAnessSet> Sub-element of the anesthesia case element.
This tag contains no data.
Note: When not submitting
anesthesia CPT codes, omit
this element set.
N/A No No
<CPTAnes> Sub-element of the CPT aness set. This tag
contains no data.
N/A Yes Yes
<CPTAnesValue> Sub-element of the CPT anes element. The
Current Procedural Terminology (CPT) code
set describes medical, surgical, and
diagnostic services and is designed to
communicate uniform information about
medical services and procedures among
physicians, coders, patients, accreditation
organizations, and payers for administrative,
financial, and analytical purposes.
<CPTAnesValue>00562</CP
TAnesValue>
Category I
codes
Regular Expression:
^([0|1][0-9]{4,4})$
Character 5 Yes Yes
<CPTAnesModifer> Sub-element of the CPT anes element. CPT
modifiers provide additional information
about the procedure performed.
<CPTAnesModifer>QK</CPTA
nesModifer>
Note: When CPT anes
modifier value is null use
<CPTAnesModifer
xmlns:nil="true" />
Modifiers
for Category
I codes
Regular Expression: ^([A-
Z0-9]{2,2})$
Character 2 No No
</CPTAnes> Closing tag for the CPT anes element. This
tag contains no data.
N/A
</CPTAnessSet> Closing tag for the CPT aness set element.
This tag contains no data.
N/A
</AnesthesiaCase> Closing tag for the anesthesia case element.
This tag contains no data.
N/A
<PreOp> Sub-element of the anesthesia record
element. This tag contains no data.
N/A Yes Yes
<Age> Sub-element of the PreOp element. The
length of time that the patient has lived from
birth to the date of service in years.
<Age>25</Age> Patient age Incremental integer {0-
110}
Number 3 Yes† Yes†
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<ASAClass> Sub-element of the PreOp element. American
Society of Anesthesiologists Physical Status
Classification System Oct 15, 2014.
www.asahq.org/resources/clinical-
information/asa-physical-status-
classification-system.
<ASAClass>IIIE</ASAClass> ASA
Physical
Status
I
IE
II
IIE
III
IIIE
IV
IVE
V
VE
VI
VIE
Character 4 Yes Yes
<ICDSet> Sub-element of the PreOp element. This tag
contains no data.
Note: When child elements
are null, use <ICDSet
xmlns:nil="true" />
N/A No No
<ICD> Sub-element of the ICD set element. This tag
contains no data.
N/A No⁰ No⁰
<ICDRank> Sub-element of the ICD element. Order of
precedence for codes submitted. Rank 1 is
the ICD code representing the primary
diagnosis used to identify the diagnosis
related group (DRG).
<ICDRank>1</ICDRank> ICD
Diagnosis
Rank
Incremental integer {1-
9999}
Number 4 No⁰ No⁰
<ICDValue> Sub-element of the ICD element. ICD
(International Classification of Diseases) is a
set of codes used to indicate patient
diagnosis, comorbidities and during any
medical encounter.
<ICDValue>V25.11</ICDValu
e>
ICD
Diagnosis
Code
Regular Expression: ^([A-
TV-Z][0-9][A-Z0-9])(\.[A-Z0-
9]{1,4})?$
Character 8 No⁰ No⁰
<ICDVersion> Sub-element of the ICD element. ICD version
used (ICD9 or ICD10).
<ICDVersion>9</ICDVersion> ICD
Diagnosis
version
Incremental integer {9-10} Number 2 No⁰ No⁰
</ICD> Closing tag for the ICD element. This tag
contains no data.
N/A
</ICDSet> Closing tag for the ICD set element. This tag
contains no data.
N/A
</PreOp> Closing tag for PreOp element. This tag
contains no data.
N/A
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<IntraOp> Sub-element of anesthesia record element.
This tag contains no data.
Note: When child elements
are null, use <IntraOp
xmlns:nil="true" />
NA Yes Yes
<PostOp> Sub-element of anesthesia record element.
This tag contains no data.
N/A Yes Yes
<PaymentMethod> Sub-element of PostOp element. This tag
contains no data.
N/A Yes Yes
<PaymentCode> Sub-element of the payment method
element. The primary way in which a health
care provider is compensated for services
provided.
<PaymentCode>Government:
Medicare Fee for Service -
Part B</PaymentCode>
Payment
method
Charity
Commercial
Government: Medicaid
Government: Medicare
Fee for Service - Part A
Government: Medicare
Fee for Service - Part B
Government: Medicare
Fee for Service - Part C
Government:
Military/Veterans
Government: Other
Other
Self-Pay
Unknown
Worker’s Compensation
Yes Yes
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<PaymentDescription> Sub-element of the payment method
element. The secondary way in which a
health care provider is compensated for
services provided.
<PaymentDescription>Comm
ercial</PaymentDescription>
Note: When the payment
description element is null,
omit this element.
Payment
method
Charity
Commercial
Government: Medicaid
Government: Medicare
Fee for Service - Part A
Government: Medicare
Fee for Service - Part B
Government: Medicare
Fee for Service - Part C
Government:
Military/Veterans
Government: Other
Other
Self-Pay
Unknown
Worker’s Compensation
No No
<PaymentDescriptionSec> Sub-element of the payment method
element. The tertiary way in which a health
care provider is compensated for services
provided.
<PaymentDescriptionSec>Sel
f-
Pay</PaymentDescriptionSec
>
Note: When the payment
description sec element is
null, omit this element.
Payment
method
Charity
Commercial
Government: Medicaid
Government: Medicare
Fee for Service - Part A
Government: Medicare
Fee for Service - Part B
Government: Medicare
Fee for Service - Part C
Government:
Military/Veterans
Government: Other
Other
Self-Pay
Unknown
Worker’s Compensation
No No
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<PaymentDescriptionTh> Sub-element of the payment method
element. The quaternary way in which a
health care provider is compensated for
services provided.
<PaymentDescriptionTh>Gov
ernment:
Other</PaymentDescriptionT
h>
Note: When the payment
description th element is null,
omit this element.
Payment
method
Charity
Commercial
Government: Medicaid
Government: Medicare
Fee for Service - Part A
Government: Medicare
Fee for Service - Part B
Government: Medicare
Fee for Service - Part C
Government:
Military/Veterans
Government: Other
Other
Self-Pay
Unknown
Worker’s Compensation
No No
</PaymentMethod> Closing tag for payment method. This tag
contains no data.
N/A
<ICDSet> Sub-element of the PostOp element. This tag
contains no data.
Note: When child elements
are null, use <ICDSet
xmlns:nil="true" />
N/A No⁰ No⁰
<ICD> Sub-element of the ICD set element. This tag
contains no data.
N/A No⁰ No⁰
<ICDRank> Sub-element of the ICD element. Order of
precedence for codes submitted. Rank 1 is
the ICD code representing the primary
procedure used to identify the diagnosis
related group (DRG).
<ICDRank>1</ICDRank> ICD
Procedure
Rank
Incremental integer {1-
9999}
Number 4 No⁰ No⁰
<ICDValue> Sub-element of the ICD element. ICD
(International Classification of Diseases) is a
set of codes used to indicate patient
procedure during any medical encounter.
<ICDValue>V25.11</ICDValu
e>
ICD
Procedure
Code
Regular Expression: ^([A-
Z0-9]{7})$
Character 7 No⁰ No⁰
<ICDVersion> Sub-element of the ICD element. ICD version
used (ICD9 or ICD10).
<ICDVersion>9</ICDVersion> ICD
Procedure
version
Incremental integer {9-10} Number 2 No⁰ No⁰
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
</ICD> Closing tag for the ICD element. This tag
contains no data.
N/A
</ICDSet> Closing tag for the ICD set element. This tag
contains no data.
N/A
</PostOp> Closing tag for the Post Op element. This tag
contains no data.
N/A
<OutcomesEvents> Sub-element of the anesthesia record
element. This tag contains no data.
Note: When child elements
are null, use <OutcomeEvents
xmlns:nil="true" />
N/A No Yes
<QCDRSet> Sub-element of the outcomes events
element. This tag contains no data.
Note: When child elements
are null, omit this element
set.
The QCDR set will be used for
quality report for both QR and
QCDR programs.
N/A No Yes
<QCDR> Sub-element of the QCDR set element. This
tag contains no data.
N/A No Yes
<QCDRMeasure> Sub-element of the QCDR element. The
measures’ listed identification number
supplied by CMS / AQI.
<QCDRMeasure>ASA08</QC
DRMeasure>
Measure
Number
Regular Expression:
^(ASA[0-9]{2,2}?(PQRS[0-
9]{3,3})$
Note: The QR program only
accepts PQRS measures,
The QCDR program
accepts both PQRS and
ASA measures.
Character 6 No Yes
<QCDRCodeValue> Sub-element of the QCDR element. The
quality tracking codes (CPT II, HCPCS, or ASA)
which facilitate data collection for the
purposes of performance measurement.
<QCDRCodeValue>4558F</Q
CDRCodeValue>
CPT II code,
HCPCS
code, or ASA
Measure
code
Regular Expression:
^(ASA[0-9]{2,2}[A-Z])?([0-
9]{4,4}F)?(G[0-9]{4,4})?$
Character 6 No Yes
<QCDRModifier> Sub-element of the QCDR element. Quality
code modifiers provide additional information
about the quality data captured.
<QCDRModifier>8P</QCDRM
odifier>
Note: When child elements
are null, use <QCDRModifier
xmlns:nil="true" />
Quality code
modifier
Regular Expression:
^(1|8)P$
Character 2 No No
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XML Element Description Example Data
Element Valid Values Data Type
Field
Size
Data
Required
for
NACOR
Data
Required
for QR /
QCDR
<QCDRDenomExclusion> Sub-element of the QCDR element. Measure
defined denominator exclusions. This
element is not used.
This element currently is not
used. Use
<QCDRDenomExclusion
xmlns:nil="true" />
Quality
measure
exclusion
Free-form text Character 50 No No
<QCDRMeasureNotes> Sub-element of the QCDR element. Quality
measure reported notes.
<QCDRMeasureNotes>Enter
some note
here</QCDRMeasureNotes>
Note: When the QCDR
measure notes element is null
use <QCDRMeasureNotes
xmlns:nil="true" />
Quality
measure
notes
Free-form text Character 150 No No
</QCDR> Closing tag for the QCDR element. This tag
contains no data.
N/A
</QCDRSet> Closing tag for the QCDR set element. This
tag contains no data.
N/A
</OutcomesEvents> Closing tag for the outcomes events element.
This tag contains no data.
N/A
</AnesthesiaRecord> Closing tag for the anesthesia record
element. This tag contains no data.
N/A
</AnesthesiaRecords> Closing tag for the anesthesia records
element. This tag contains no data.
N/A
* Patient identifier, Procedure identifier may be used as additional fields for matching disparate data sources. These values will be required if AQI/ArborMetrix is performing the merger of disparate
data.
† One of patient age or date of birth is required, not both. Both may be submitted.
‡ Procedure status: Emergency is used as denominator exclusion for many ASA measures used in quality reporting to CMS. This value is usually captured as part of ASA physical status as the "E"
designator, but some systems are not able to concatenate "E" with the ASA physical status Roman numeral appropriately.
⁰ ICD codes are only needed if the EP intends on reporting PQRS measures which use ICD values in the specification's denominator. If reporting ICD code values, all ICD elements are required.
Page 29 of 39
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Uploading data to NACOR It is recommended that data is uploaded to NACOR at least monthly in order to take
advantage of the QR or QCDR reports for measure compliance.
All files must be placed on NACOR servers. AQI will not pull files from vendors or practices.
File Review and Notification The following file errors will result in data not being loaded into NACOR:
Non-XML file format
Multiple files without the required ID in both files
Files where staff IDs and facility IDs do not match what was provided in the practice
roster upon contracting
Files that do not meet the minimum data field requirements to meet CMS measure
specifications
Files without NPI numbers
Qualified Registry files without payment type
Files that do not meet the 2016 Quality Reporting deadlines listed on page 30
More information on XML file format specifications and test file validation can be found
at: aqihq.org/vendorsQCDRHelp.aspx.
Notifications will be sent with the following conditions:
Success
Production file processed successfully and placed in the queue for processing
Test file validated against XSD successfully but not placed in the queue for
processing
Error
File dropped in a folder other than ‘testupload’ or ‘produpload’
File does not have a ‘.xml’ or ‘.zip’ extension
File does not pass XSD validation
File data fails to load into the staging environment
File data fails to be placed in the queue
A Help Desk ticket will be automatically generated based on the Error messaging.
The FTP contact and Practice Champion will receive an email if there are problems loading a
file. It is the practice/vendor’s responsibility to correct errors and resubmit a production file.
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Further Support Please contact [email protected] for further assistance.
Data Transmission AQI leverages a secure SSH/SFTP server setup through which practices and responsible
vendors submit participant data to NACOR. Access to this server can be obtained directly
from the Practice Champion. Please contact the Practice
Champion you are submitting on behalf of to obtain a user ID
and password for an FTP account on the NACOR platform.
The Practice Champion grants FTP permission by logging in
and checking the box in the “User List” (as pictured).
If you are submitting on behalf of multiple practices, please contact
When your NACOR account is created, you will receive an account activation email with a
secure link to the platform that remains active for 48 hours. Upon activation, you will be
required to establish your password. Do not share your credentials with others.
The FTP server information is below:
Host: sftp://data.arbormetrix.com
Port: 22
Protocol: SFTP – SSH File Transfer Protocol
Logon Type: Normal
User: The username is on the FTP Account page on the AQI application for users who have
been granted authorization as an “FTP account user”. To view this page, click on your
username in the top right corner of the AQI application and click FTP Account. The username
is listed at the top of the FTP Account page.
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Password: The password is the same as the FTP account user’s password for the AQI
application.
FTP Folder Structure Users place files in the appropriate folder for transmission to ArborMetrix. Here are
descriptions of the available folders for each site:
Applicationuploads: Folder for uploading data to import into the registry. Subfolders below:
produpload: Upload data to production. This data gets integrated into the application.
testupload: Upload data for acceptance testing. This data does not get integrated
into the application.
Dropbox: Mutually exchange files via this “dropbox.” Files are removed after 90 days.
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[email protected] for permission to use any of the information in this document. Updated August 1, 2016
2016 Quality Reporting Deadlines
2016 deadlines for practices registered for ASA Quality Reporting.
In order to report using the Quality Reporting service, contracts must be executed for
participation in both NACOR and the Quality Reporting service:
Deadlines
Registration for Quality Reporting
October 31, 2016
One month of production data (includes
measure codes)
Within 60 days of contract signing
January – November 2016 Data
January 31, 2017
December 2016 Data
February 15, 2017
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[email protected] for permission to use any of the information in this document. Updated August 1, 2016
Quality Reporting Data Reports
There are six reports available to track your provider’s measure compliance:
1. TIN Summary
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2. Measure Summary
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[email protected] for permission to use any of the information in this document. Updated August 1, 2016
3. Provider Summary
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[email protected] for permission to use any of the information in this document. Updated August 1, 2016
4. Measure Detail
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[email protected] for permission to use any of the information in this document. Updated August 1, 2016
5. Cases by Provider and Month
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6. QCDR Benchmark
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©2016 Anesthesia Quality Institute. All rights reserved. Please contact the Anesthesia Quality Institute at
[email protected] for permission to use any of the information in this document. Updated August 1, 2016
Resources
2016 QCDR Measure Specifications
2016 PQRS Measure Specifications
2016 QR versus QCDR Measures
AQI QCDR Ready Vendors
Resources for Developers
XML File Format Validator
Sample Qualified Registry Data Capture Form
Sample Qualified Clinical Data Registry Data Capture Form
Quality Reporting Interest Form
Quality Reporting Registration Process
Quality Reporting Office Hours
Send your questions to:
Quality Reporting Registration questions: [email protected]
General Questions regarding AQI Participation: [email protected]
Technical Questions (Data Format, Report Questions): [email protected]
Regulatory and Measure-Related questions: [email protected]