Clinical Reimbursement & Quality Measures

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Clinical Reimbursement & Quality Measures

Every CMS Instrument
in One Place

MDS · OASIS · IRF-PAI · LCDS · HOPE · IQR · ASCQR · IPFQR · MIPS — assessment and quality reporting instruments for all 13 CMS facility types. MDS and OASIS are live reference tools. All others are future features.

All 13 CMS Instruments
CMS Assessment & Quality Reporting Reference Tools

Reference tools for every assessment instrument used by each facility type for reimbursement and quality reporting. MDS and OASIS are live — all others are future features.

🏠 SNF / Nursing HomeLive
MDS 3.0 — Minimum Data Set v1.20.1
Lookup · Item Matrix · Training Simulator · 20 sections · 170 items · Drives PDPM + OBRA + QRP
PDC API — data.cms.gov/provider-data
🏡 Home Health AgencyLive
OASIS-E2 — Outcome and Assessment Information Set
Lookup · Training · Effective April 1, 2026 · Drives HHVBP + Home Health QRP
PDC API — data.cms.gov/provider-data
♿ Inpatient Rehab (IRF)Future Feature
IRF-PAI — Inpatient Rehabilitation Facility Patient Assessment Instrument
Admission + discharge assessments · Drives IRF Prospective Payment System
PDC API — data.cms.gov/provider-data
Reference tool coming soon
🏨 LTACHFuture Feature
LCDS — Long-Term Care Data Set
Quality reporting for long-term acute care hospitals · LTACH QRP
PDC API — data.cms.gov/provider-data
Reference tool coming soon
🕊️ HospiceFuture Feature
HOPE — Hospice Outcomes & Patient Evaluation
Replaced HIS on October 1, 2025 · Hospice Quality Reporting Program
PDC API — data.cms.gov/provider-data
Reference tool coming soon
🏥 Hospital (Inpatient)Future Feature
IQR Program — Inpatient Quality Reporting
Claims + eCQMs + chart-abstracted measures · Linked to VBP, HRRP, HAC programs
PDC API — data.cms.gov/provider-data
Reference tool coming soon
🏥 Hospital (Outpatient)Future Feature
OQR — Hospital Outpatient Quality Reporting Program
Outpatient quality measures · Ambulatory surgery · Emergency department
PDC API — data.cms.gov/provider-data
Reference tool coming soon
🔪 ASC / Surgical CenterFuture Feature
ASCQR — Ambulatory Surgical Center Quality Reporting Program
Patient safety measures · Infection rates · Unplanned returns
PDC API — data.cms.gov/provider-data
Reference tool coming soon
🧠 Inpatient PsychiatricFuture Feature
IPFQR — Inpatient Psychiatric Facility Quality Reporting Program
Follow-up care · Readmissions · Restraint use · Suicide screening
PDC API — data.cms.gov/provider-data
Reference tool coming soon
👨‍⚕️ Physician / ClinicianFuture Feature
MIPS / QPP — Merit-Based Incentive Payment System
Published scores via PDC · Submission & scoring via QPP API
PDC API + QPP API — qpp.cms.gov/developers
Reference tool coming soon
💉 Dialysis (ESRD)Future Feature
CMS-2728 / CMS-2746 — ESRD Medical Evidence & Death Notification
Reported through EQRS · ESRD QIP & DFC published data via PDC · Raw 2728/2746 = EQRS only
PDC API (published) · EQRS for raw submissions
Reference tool coming soon
💧 Home Infusion TherapyFuture Feature
HITQR — Home Infusion Therapy Quality Reporting Program
No dedicated public API · CMS downloadable files only
CMS downloadable files only — no public API
Reference tool coming soon
🚑 Rural Emergency HospitalFuture Feature
REHQR — Rural Emergency Hospital Quality Reporting (2023+)
Newer program · Measures being phased in · Data published as available
PDC API — as measures are published
Reference tool coming soon