Merit-based Incentive Payment System (MIPS)

GIQuIC 2023 Qualified Clinical Data Registry (QCDR)

Since 2014, GIQuIC has been approved by CMS to serve as a Qualified Clinical Data Registry (QCDR). The QCDR reporting mechanism is a dynamic option that allows providers to report on GI-specific measures that are meaningful to their specialty practice and foster improvement in the quality of care provided to patients.

The GIQuIC QCDR is approved to report for individual eligible providers, groups, and virtual groups to the following performance categories:

GIQuIC 2023 QCDR Measures

Following is an overview of the clinical quality measures in GIQuIC that can be reported to CMS for the Quality performance category of the Merit-Based Incentive Payment System (MIPS) via the GIQuIC Qualified Clinical Data Registry (QCDR) for the 2023 program year. To download a pdf, please click here.

The GIQuIC 2023 QCDR has been approved to support individual eligible clinician, group, and virtual group reporting to the Quality, Improvement Activities, and Promoting Interoperability performance categories.

Please join us the GIQuIC team for the first in a series of presentations on reporting to the CMS Merit-based Incentive Payment System (MIPS) leveraging participation in GIQuIC. To register for the first event, titled MIPS 2023 Action Plan, click here.

Measure NumberTitleOutcome/
GIQIC25Screening Colonoscopy Adenoma Detection Rate – FemaleOutcome
GIQIC24Screening Colonoscopy Adenoma Detection Rate – MaleOutcome
GIQIC23Appropriate follow-up interval based on pathology findings in screening colonoscopyHigh-Priority
NHCR4Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparationHigh-Priority
QPP185Colonoscopy Interval for Patients with a History of Adenomatous Polyps — Avoidance of Inappropriate UseHigh-Priority
QPP320Appropriate follow-up interval for normal colonoscopy in average risk patientsHigh-Priority
QPP439Age Appropriate Screening ColonoscopyHigh-Priority
GIQIC10Appropriate management of anticoagulation in the peri-procedural period rate – EGDHigh-Priority

For more information about CMS’ Merit-based Incentive Payment System performance categories and the benefits of using the GIQuIC QCDR for reporting, click here.

GIQuIC 2023 Qualified Clinical Data Registry (QCDR)

2023 Reporting Year Deadlines/Checklist

To report to MIPS via the GIQuIC QCDR for the 2023 reporting year:

If you have any questions about reporting to MIPS via the GIQuIC 2023 QCDR, please open a service ticket by clicking on Service Desk in the upper right-hand corner of the registry.

2023 GIQuIC MIPS Audit

To maintain its status as a Qualified Clinical Data Registry (QCDR) with CMS, GIQuIC must execute a Data Validation Plan to demonstrate to CMS that data submitted to the registry is true, accurate, and complete. Below are details about the process GIQuIC follows to conduct audits across the Quality, Promoting Interoperability, and Improvement Activities performance categories.

GIQuIC MIPS Quality Audit

If you are selected for a 2023 GIQuIC Quality Data Validation Audit and you have questions about the process, please open a service ticket by clicking on Service Desk in the upper right-hand corner of the registry. .

GIQuIC MIPS Improvement Activities and Promoting Interoperability Audit

The audit relative to the Improvement Activities (IA) and Promoting Interoperability (PI) performance categories takes place in January of the year following the performance year.

Providers who submit data and attestations for the IA and PI performance categories via the GIQuIC 2023 QCDR must have relevant documentation (as per CMS guidelines) to substantiate this reporting. For those providers who have been randomly selected to participate in the audit, their GIQuIC Data Managers must provide the documentation to GIQuIC by the given deadline. If the provider has documentation that is not on the list of CMS suggested documents to substantiate this reporting, the provider(s) must provide it along with a valid reason for the alternate documentation.

IA and PI Audit Process:

  1. The GIQuIC support team will email the audit templates for each performance category to the Data Manager with a request to participate on a conference call with the GIQuIC team.
  2. During this initial call, the GIQuIC support team will review the audit template(s) with the Data Manager.
  3. The Data Manager will complete the audit template(s) and return the template(s) and supplemental materials to the GIQuIC support team (via secure email).
  4. Following a review of the audit materials, the GIQuIC support team will schedule a second call, if necessary, to address any questions or deficiencies.
  5. GIQuIC will notify the Data Manager when the IA and PI portion of the audit has been successfully completed.