MACRA Ready™ Platform
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      1. Graphium Health
      2. MACRA Ready™
      3. MACRA Ready™ Platform

      Provider Registration

      Below are instructions explaining how to complete QCDR Provider Registration, which allows for for MACRA data submission to the CMS Quality Payment Program.

      Objective

      • Register all applicable providers for the current MACRA reporting year.

      • IMPORTANT: if you have providers that no longer work at your facility, please be sure to deactivate them before beginning the Provider Registration process. Below is a link to instructions for deactivating a provider:
        Activating and Deactivating Providers
      • IMPORTANT: please be sure to login to the CMS QPP website and verify your providers' MIPS eligibility status before beginning the Provider Registration process. 
        Below is a link to verify your providers' Individual or Group eligibility status:
        Individual or Group Participation Status

      Directions

      1. Review Instructions

      2. TIN Settings

      3. Report Settings

      4. IA Attestations

      Review Instructions

      1. Click here to log in to the Graphium EMR Dashboard™. If you do not have access to the dashboard, please contact your organization's Administrator.

      2. Click on the settings icon in the upper right corner and then choose “QCDR Settings” or you
        may click on the red "QCDR Settings" button in the upper right corner:



        OR

      3. The Instructions page will automatically appear to provide a summary for each step of the QCDR Provider Registration process. Please reference this page if you have questions throughout the registration process. After you have reviewed the instructions, click “Next” in the top right corner.


      TIN Settings

      1. All facilities within your organization should be listed under Step 1: TIN Settings.

      2. Next to each facility you intend to submit cases for CMS, check the box labeled “Submit cases for this facility”. Note: please leave “Test Facility” unchecked.

      3. A list of providers within that facility will appear. If all providers for which you intend to submit cases have the same Tax ID Number, then click the box labeled “All Providers use the same Billing TIN”.

      4. Input the Group TIN within the space provided. The TIN will auto-populate next to each provider.

      5. If your providers will not be reporting under the same Group TIN, uncheck the box labeled “All Providers use the same Billing TIN” and then manually input each provider’s unique TIN for which you intend to report. Once complete, click “Save and Continue”.


         
        OR

      6. You can move back and forth between steps by clicking the “Back” or “Next” buttons in the top right hand corner. If you make changes within any of the steps, the “Next” button will become a “Save and Continue” button. Note: any changes made could affect data within the next step. Please review all steps for accuracy after making any changes. 

      Reporting Settings

      1. Step 2: Reporting Settings allows you to select either the Group Reporting or Individual Reporting option for your providers, as well as whether or not a provider is Eligible, Not Eligible, or Opt-in Eligible for reporting. Below is a link to verify your providers' Reporting and eligibility status:
        Individual or Group Participation Status

      2. If you wish to select providers for Group Reporting, be sure to check the Group Reporting box and select the provider's applicable Eligibility status and Reporting Action as specified within the above QPP website: Note: checking the Group Reporting box will default to BOTH Group and Individual reporting options as allowed by CMS. CMS will then choose the higher of the two possible performance scores. 

      3. If you wish to select providers for Individual Reporting only, simply leave the Group Reporting box unchecked, and select the provider's applicable Eligibility status and Reporting Action as specified within the above QPP website.

      4. Below is a list of possible Participation Status results you may see when looking up your providers' eligibility on the QPP site. Please be sure to reference this guide when making reporting selections for your providers:


      5. Once you’ve completed your Step 2: Reporting Settings, click Save and Continue.

      IA (Improvement Activity) Attestations

      1. Attesting to improvement activities performed for each TIN for 90 days or more during the reporting period, is required in order to submit your providers' MACRA data to CMS.

      2. Please review all improvement activities listed within Step 3: IA Attestations and select either Yes or No attesting to performance of that activity. If you need further detail regarding a particular improvement activity, please refer to the Instructions page at the beginning of the QCDR registration process. Note: activities must not be left blank. 

      3. To earn full credit in this category, participants must attest to at least one of the following combinations of activities as noted in the gray section at the top of the screen: 

          • Two high weighted activities

          • One high weighted AND two medium weighted activities

          • Four medium weighted activities

      4. Once you’ve completed all three steps of the QCDR Provider Registration, please click “Save and Finish” to finalize your registration. A banner should appear at the top of your screen that says “QCDR Completed and Saved”.