(a) Applicable performance categories and data submission requirements. (1) Except as provided in paragraph (a)(2) of this section, as applicable, ASM participants must submit data on measures and activities for the quality, improvement activities, and Promoting Interoperability ASM performance categories described in §§ 512.725(b) and (c), 512.735(b), and 512.740 in accordance with this section. The data may also be submitted on behalf of the ASM participant by a third-party intermediary.
(i) For the quality ASM performance category, a data submission must—
(A) Include numerator and denominator data for at least one applicable quality measure described in § 512.725(b) or (c) that is not an administrative claims-based collection type and meets the data completeness requirement as specified at § 512.725(f) and
(B) Be submitted at the TIN/NPI level, unless the ASM participant is excepted under paragraph (f) of this section.
(ii) For the improvement activities ASM performance category, a data submission must—
(A) Include an attestation of meeting the specifications of each required improvement activity described in § 512.735(c); and
(B) Be submitted at the TIN level;
(iii) For the Promoting Interoperability ASM performance category, a data submission must do all of the following:
(A) Include all of the following elements:
(1) Performance data, including any claim of an applicable exclusion, for the measures in each objective, as specified by CMS at § 512.740(b).
(2) Required attestation statements, as specified by CMS at § 512.740(b).
(3) CMS EHR Certification ID (CEHRT ID) from the Certified Health IT Product List (CHPL).
(4) The start date and end date for the applicable performance period as set forth in § 512.740(a).
(B) Be submitted at the TIN level.
(2) There are no data submission requirements for the cost ASM performance category measures and activities described under § 512.730(b) or administrative claims-based quality measures as described in § 512.725(b) or (c). Performance in the cost ASM performance category and administrative claims-based quality measures are calculated by CMS using administrative claims data, which includes claims submitted with dates of service during the applicable performance period that are processed no later than 60 days following the close of the applicable performance period.
(b) Data submission types for ASM participants. An ASM participant must submit their data using the following:
(1) For the quality ASM performance category, the direct and login and upload submission types.
(2) For the improvement activities and Promoting Interoperability ASM performance categories, the direct, login and upload, or login and attest submission types.
(c) Use of multiple data submission types. ASM participants may submit their data using multiple data submission types for any ASM performance category described in paragraph (a)(1) of this section provided that the ASM participant uses the same identifier for all ASM performance categories and all data submissions.
(d) Data submission deadlines. The data submission deadline is March 31st of the calendar year following the close of the applicable ASM performance year or a later date as specified by CMS for the direct, login and upload, and login and attest submission types.
(e) Treatment of multiple data submissions. (1)(i) For multiple data submissions received in the quality and improvement activities ASM performance categories in accordance with paragraphs (a)(1)(i) and (ii) of this section for an individual ASM participant from submitters in multiple organizations (for example, qualified registry, practice administrator, or EHR vendor), CMS calculates and scores each submission received and assign the highest of the scores.
(ii) For multiple data submissions received for an individual ASM participant from one or multiple submitters in the same organization, CMS scores the most recent submission.
(2) For multiple data submissions received for the Promoting Interoperability ASM performance category in accordance with paragraph (a)(1)(iii) of this section, CMS calculates a score for each data submission received and assigns the highest of the scores.
(f) Small practice quality measures submission. ASM participants who are part of a small practice may report quality measures in the quality ASM performance category at the TIN level.