Optum

Optum QPP MIPS APIs API

The QPP MIPS APIs API from Optum — 4 operation(s) for qpp mips apis.

GitHub OpenAPI

Operations 4

POST /api/cms/physician/qpp/ Fetches the data for the quality performance category measures look-up #
GET /api/cms/physician/qpp/{doc-id}/mips-download Generates the data for the quality performance category #
GET /api/cms/physician/qpp/specialty-measures Generates the data for the quality performance category speciality-measures #
GET /api/cms/physician/qpp/measure-types Generates the data for the quality performance category for measure types #

Documentation

📖
APIReference
https://developer.optum.com/eligibilityandclaims/reference/api-overview
📖
GettingStarted
https://developer.optum.com/eligibilityandclaims/docs/get-started-with-optum-api
📖
Authentication
https://developer.optum.com/eligibilityandclaims/docs/optum-security-and-authorization
📖
APIReference
https://developer.optum.com/optumreal-dental/reference/overview-real-dental
📖
GettingStarted
https://developer.optum.com/optumreal-dental/reference/get-started
📖
APIReference
https://developer.optum.com/pharmacysolutions/reference
📖
APIReference
https://developer.optum.com/paymentandreimbursement/reference
📖
APIReference
https://developer.optum.com/platformandinteroperability/reference
📖
APIReference
https://developer.optum.com/analyticsandinsights/reference
📖
APIReference
https://developer.optum.com/apitools/reference/security-and-authorization-v2-overview
📖
Documentation
https://developer.optum.com/apitools/docs/getting-started

Specifications

⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/optum/refs/heads/main/openapi/optum-qpp-mips-apis-api-openapi.yml

Other Resources

🔗
ChangeLog
https://developer.optum.com/eligibilityandclaims/docs/eligibility-release-notes

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OpenAPI Specification

optum-qpp-mips-apis-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: CMS Common Physician QPP MIPS APIs API
  description: MicroService that contains CMS related information
  contact:
    name: Ken Kracker
    email: ken.kracker@optum.com
  version: v1.0
servers:
- url: /v1/cmscommonms
tags:
- name: QPP MIPS APIs
paths:
  /api/cms/physician/qpp/:
    post:
      tags:
      - QPP MIPS APIs
      summary: Fetches the data for the quality performance category measures look-up
      operationId: getTableData
      parameters:
      - name: sort
        in: query
        description: Any of these values (measureId,-measureId,collectionType,-collectionType,specialtyMeasure,-specialtyMeasure,measureType,-measureType,highPriority,-highPriority) are allowed.The default is code
        required: false
        schema:
          type: array
          items:
            type: string
          default:
          - measureId
      - name: limit
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 50
        example: 150
      - name: page
        in: query
        required: false
        schema:
          type: integer
          format: int32
          default: 1
      - name: yyyy-MM-dd
        in: header
        description: Date for which historical data is required
        required: false
        schema:
          type: string
          format: yyyy-MM-dd
      requestBody:
        description: QPP MIPS Search Request
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/QPPMipsValue'
            examples:
              QPP MIPS Search Request:
                description: QPP MIPS Search Request
                value:
                  code: ''
                  measureId: ''
                  collectionType: ''
                  specialtyMeasure: ''
                  measureType: ''
                  highPriority: ''
        required: true
      responses:
        '200':
          description: 'POST-for-GET: Fetch QPP data '
          content:
            application/json:
              example:
                content:
                - measureId: '1'
                  docId: '599161'
                  description: Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period.
                  collectionType: Claims
                  specialtyMeasure: General Practice/Family Medicine
                  measureType: Intermediate Outcome
                  highPriority: 'Yes'
                totalCount: 1
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /cmscommonms/api/cms/physician/qpp/1
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-28T06:36:22.518+00:00'
                path: /cmscommonms/api/cms/physician/qpp/
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      security:
      - bearerAuth: []
  /api/cms/physician/qpp/{doc-id}/mips-download:
    get:
      tags:
      - QPP MIPS APIs
      summary: 'Generates the data for the quality performance category '
      operationId: qppMipsDocument
      parameters:
      - name: doc-id
        in: path
        description: MIPS Measure ID
        required: true
        schema:
          type: integer
          format: int32
        example: 599161
      - name: yyyy-MM-dd
        in: header
        description: Date for which historical data is required
        required: false
        schema:
          type: string
          format: yyyy-MM-dd
      responses:
        '200':
          description: Fetches the file content in the form of byte array, response headers and media type as fileType
          content:
            application/pdf:
              schema:
                $ref: '#/components/schemas/Notification'
              example: " access-control-expose-headers: Content-Disposition \n cache-control: no-cache,no-store,max-age=0,must-revalidate \n connection: keep-alive \n content-disposition: attachment; filename=R12138OTN.pdf \n content-length: 178521 \n content-type: application/pdf \n date: Fri,28 Jul 2023 12:03:02 GMT \n expires: 0 \n pragma: no-cache \n vary: Origin,Access-Control-Request-Method,Access-Control-Request-Headers \n x-content-type-options: nosniff \n x-frame-options: DENY \n x-xss-protection: 0 \n"
        '404':
          description: 'Not found: Sub terms not found'
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-28T06:19:48.666+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /cmscommonms/api/cms/physician/qpp/{doc-id}mips-download
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-28T06:19:48.666+00:00'
                path: /cmscommonms/api/cms/physician/qpp/{doc-id}mips-download
                status: 500
                error: Internal Server Error
                requestId: a4796cc7-1
      security:
      - bearerAuth: []
  /api/cms/physician/qpp/specialty-measures:
    get:
      tags:
      - QPP MIPS APIs
      summary: Generates the data for the quality performance category speciality-measures
      operationId: getSpecialtyMeasures
      parameters:
      - name: yyyy-MM-dd
        in: header
        description: Date for which historical data is required
        required: false
        schema:
          type: string
          format: yyyy-MM-dd
      responses:
        '200':
          description: Fetch specialty measures
          content:
            application/json:
              example:
              - Allergy/Immunology
              - Anesthesiology
              - Cardiology
              - Dentistry
              - Dermatology
              - Diagnostic Radiology
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /cmscommonms/api/cms/physician/qpp/specialty-measures1
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-13T06:36:22.518+00:00'
                path: /cmscommonms/api/cms/physician/qpp/specialty-measures
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      security:
      - bearerAuth: []
  /api/cms/physician/qpp/measure-types:
    get:
      tags:
      - QPP MIPS APIs
      summary: Generates the data for the quality performance category for measure types
      operationId: getMeasureTypes
      parameters:
      - name: yyyy-MM-dd
        in: header
        description: Date for which historical data is required
        required: false
        schema:
          type: string
          format: yyyy-MM-dd
      responses:
        '200':
          description: Fetch Specialty Measures
          content:
            application/json:
              example:
              - Efficiency
              - Intermediate Outcome
              - Outcome
              - Patient Engagement/Experience
              - Patient-Reported Outcome-Based Performance Measure
              - Process
              - Structure
        '404':
          description: Not found
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Notification'
              example:
                timestamp: '2023-07-14T06:37:03.741+00:00'
                status: 404
                error: Not Found
                message: Not Found
                path: /cmscommonms/api/cms/physician/qpp/measure-types1
        '500':
          description: Internal server error
          content:
            application/json:
              example:
                timestamp: '2023-07-13T06:36:22.518+00:00'
                path: /cmscommonms/api/cms/physician/qpp/measure-types
                status: 500
                error: Internal Server Error
                requestId: e36d239e-324
      security:
      - bearerAuth: []
components:
  schemas:
    Notification:
      type: object
      properties:
        error:
          type: array
          items:
            type: string
        warning:
          type: array
          items:
            type: string
        info:
          type: array
          items:
            type: string
    QPPMipsValue:
      type: object
      properties:
        measureId:
          type: string
        docId:
          type: string
        description:
          type: string
        collectionType:
          type: string
        specialtyMeasure:
          type: string
        measureType:
          type: string
        highPriority:
          type: string
        message:
          type: string
  securitySchemes:
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT
x-readme:
  explorer-enabled: true
  proxy-enabled: true