2020 Merit-based Incentive Payment System (MIPS) Survey (NCDR version)
Welcome to the American College of Cardiology (ACC) Merit-Based Incentive Payment System (MIPS) Activity Survey
1.
Please complete the following information:
(answer required)
First Name:
Last Name:
Credentials:
NPI number:
Facility Address:
Email address:
Facility affiliation:
NCDR Participant ID:
Please answer question 1 (First Name:) before continuing.
Please answer question 1 (Last Name:) before continuing.
Please answer question 1 (Credentials:) before continuing.
Please answer question 1 (NPI number:) before continuing.
Please answer question 1 (Facility Address:) before continuing.
Please answer question 1 (Email address:) before continuing.
Your answer to question 1 (Email address:) must be a valid email address.
Please answer question 1 (Facility affiliation:) before continuing.
Please answer question 1 (NCDR Participant ID:) before continuing.
2.
Which of the following National Cardiovascular Data Registry (NCDR) registries collecting COVID-19 clinical data has your facility participated in for a period of 90 or more continuous days in 2020 to qualify for a MIPS approved COVID-19 activity? (Please select all that apply.)
(answer required)
CathPCI Registry®
Chest Pain - MI Registry™
Have not participated in either of these registry programs for 90 days or more
Please answer question 2 before continuing.
Please select at least 1 choices for question 2.
3.
One of the CMS requirements for a MIPS approved ACC activity is that your facility must
meaningfully engage
in the activity. “Meaningful engagement” includes opting into the activity as well as actively participating in the additional elements listed below. Please attest that you have performed
both
of the following engagement activities below.
(answer required)
Participated in the care of patients diagnosed with COVID-19
Submitted relevant COVID-19 clinical data to a clinical data registry
My facility did not participate in any of these activities
Not sure if my facility participated in these activities
Please answer question 3 before continuing.
Please select at least 1 choices for question 3.
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