Timeline for HSRP 2015 Changes
- Monday, September 21, 2015, HSRP 2015 will be available for pre-sale
- September 30, 2015, HSRP 2012 Data Collection Tools will no longer be sold after this date
- November 2, 2015, HSRP 2015 Data Collection Tools and requirements will be released
- January 31, 2016, HSRP 2012 submissions will no longer be accepted after this date
HSRP 2015 is currently available for pre-order for all interested providers and practices who are seeking recognition under the new requirements.
Transitions to ICD-10 for HSRP 2015 and DRP 2015
Beginning Monday, November 2, 2015, all data submissions for DRP 2015 and HSRP 2015 can be made using either ICD-9 or ICD-10 diagnosis codes. NCQA is aligning with the CMS transition to use of ICD-10 codes for diagnoses and conditions but understands the transition is not complete for all practices. These codes will be used to identify the patient samples in DRP and HSRP. Value sets will be provided which will include all eligible ICD-9 and ICD-10 codes for each program’s respective patient populations.
Price Changes to HSRP 2015 and DRP 2015 Recognition Fees
NCQA has updated the Pricing & Fee Schedule for both programs. The new pricing will be effective for DRP and HSRP submissions received on or after November 2, 2015. The new pricing schedule also applies to organizations that submit payment prior to November 2, 2015, but submit clinician data after that date. Account balances will be adjusted accordingly. NCQA will review submissions when all fees are paid.
Organizations that pay (or have already paid) the current capped fee of $3000.00 AND submit (or have already submitted) clinicians prior to November 2, 2015, may continue to submit clinicians without paying the additional balance for the remainder of the effective 12-month period. However, if the number of clinicians submitted exceeds 100 during the 12-month period, the surcharge will be applied.
Click here to access the new Pricing & Fee Schedule.
If you have questions, please contact NCQA Customer Support at 888-275-7585, Monday - Friday, 8:30 - 5:00 ET or you may submit an inquiry via the Policy/Program Clarification System (PCS) at http://ncqa.force.com/pcs/login.
New Payment System for Customers
In December 2015, NCQA will release an electronic payment system for clinicians participating in the Diabetes Recognition and Heart Stroke Recognition programs. The new system will allow customers to pay their application fees through a secure web-based portal.
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