The Quality Payment Program is creating Application Programming Interfaces (APIs) to help software developers begin to build customized reporting tools. This will be a long term and iterative process that depends on developer feedback, so that the APIs fit the needs of developers and participants in the Quality Payment Program.
We'll initially release two APIs:
- Measurement API (November 2016) - This API allows you to connect your site to the list of 2017 Measures and get updates.
- Submissions API (Early 2017) - This API will allow you to submit data to CMS with XML or JSON (industry standards for data transmission). It will deliver realtime feedback on the content and accuracy of your submission.
You can find more information about these APIs below.
What is an Application Programming Interface (API)?
An Application Programming Interface, or API, is a set of software instructions and standards that allows machine to machine communication. An organization can use an API to make data available to developers in a way that allows them to use that data in their own tools. For example, if you see Google Maps appear on a real estate site, that company is using the Google Maps API to show maps for their properties. Instead of creating the maps themselves or updating them manually, the real estate company is using the API to pull data directly from Google Maps.
How Can I Share Feedback?
We encourage you to try these APIs and let us know what you think.
Send us your feedback via email
What Can I Do With This API?
The Measurement API allows you to connect your site or tool to the measures list and get updates. You could use this API to create customized sites or tools for different kinds of practices. TheExplore Measurespage is one example of how this API can be used to display information about the measures in different ways.
Why Would I Use This API?
Previously, if you were building a site with the current list of measures, you'd need to manually add each measure to the site. When CMS updated the measures, the information on your site would be out of date. With this API, you can set up your site so that it requests just the measures you want to display. When CMS makes updates to the measures you've requested, your site will be updated as well.
What Can I Do With This API?
The Submissions API will allow developers to submit QPP performance data to CMS programmatically, instead of manually. The API offers the following features:
- Submit data as a single file or a set of smaller files throughout the reporting period
- Update data or delete data throughout the reporting period
- Provide feedback on the content and accuracy of your CMS-defined file format submission
- Provide you the score for your submission, based on the finalized policy
Why Would I Use This API?
APIs create new value for customers and CMS in several ways:
- APIs offer a more transparent and efficient way to submit performance data than with prior programs
- APIs will provide real-time scoring and feedback on submitted data
- Industry partners, like EHRs and registries, can build APIs directly into their products, which enhances their ability to work more effectively with CMS
Will Other Reporting Options Still Be Available?
Yes, you may still use other reporting options.
For submitting all categories of data, the Quality Payment Program will support the following formats:
- The CMS-defined file format that combines and extends the standards previously developed for Quality Clinician Data Registries (QCDRs) and registries. We're calling this 'Quality Payment Program data format' for convenience. The specifications are now available for your review and feedback .
- Established HL7 QRDA3 (Quality Reporting Document Architecture -- Category 3) format, with reference to the instructions in the updated CMS implementation guide. The specifications are now available for your review and feedback .
For submitting quality data through claims submissions:
- Claims-based quality data submission will stay the same for groups who reported using this method under the Physician Quality Reporting System. (This submission method is commonly referred to as using "g-codes".)
For submitting beneficiary-level quality data:
- Groups of more than 25 clinicians will still be able to submit data in a similar manner to the one they used for the Group Practice Reporting Option (GPRO) Web Interface.
- Groups who want to submit beneficiary-level quality data will need to register between April 1, 2017 and June 30, 2017. This reporting option includes a web interface for editing data in the browser (similar to the GPRO Web Interface) and an XML upload (similar to the XML upload available in the GPRO Web Interface).
- Submissions APIs for submitting beneficiary-level data will also be available.
Clinicians not using a Registry or QCDR, can use a combination of their certified EHR to generate their quality data (QRDA3) and upload it manually to the QPP website as well as log into the portal and manually "attest" to IA and "attest" and submit measures for ACI. There is no web reporting interface for quality data for groups < 25.
What Format Does My Data Need to Be In?
The 2017 version of the API will accept submission data in JSON or XML, the same formats accepted for QCDR and registry submission.
A draft Submissions API specification is available which developers can use to learn the API and practice submitting data.
When Will This API Be Available?
Full documentation for this API is underway and will be finalized by mid-2017.
In the meantime, a draft Submissions API specification is available which developers can use to learn the API and practice submitting data.
Have other questions about these APIs?
Send us your questions via email
The Quality Payment Program Service Center is available to help.
Available Monday – Friday, 8:00AM – 8:00PM Eastern Time
Send us your questions about the Quality Payment Program.