Why should I participate in the ACR Lung Cancer Screening Registry?



Can a physician radiology group register?



What's the difference between the Lung Cancer Screening Registry and the ACR Lung Cancer Screening Center Designation?



Do we have to report patient names, Social Security numbers and Medicare beneficiary IDs? Our legal staff is reluctant to release this information due to privacy concerns.



Are we required to report data on non-Medicare patients?



Why is the LCSR collecting data elements that aren't required by CMS?



How often should I submit screening data to the LCSR?



When can I bill CMS for the technical and professional components of diagnostic imaging services — is it before or after submitting data to the LCSR?



How will CMS know that I have submitted low-dose lung screening data to the LCSR?



Should our radiologists use the ACR Lung Imaging Reporting and Data System (Lung-RADS™) in their dictation?



If a patient has had lung cancer but no longer does, are they still eligible for screenings?



What is the difference between percentile per scan and percentile per exam?



In the event of a full-dose CT being completed by mistake instead of a low-dose exam, would it be appropriate to enter this case in the registry?



Why can’t I see any reports when trying to export lung data?



When trying to enter a patient, I receive a pop-up stating Duplicate Case. I attempted to cancel the exam and re-enter, but it still won’t accept the data.



Can we request an extension for submitting LCSR data?



Should CT scan projection radiographs (i.e., topograms, scouts or localizers) be included in the dosage date submitted to LCSR?



Why do I have to enter the patient's Medicare Beneficiary ID?



What if I'm entering data for a Medicare patient, and I don't have the patient's Medicare Beneficiary ID?



Should we include the scout (CT scan projection radiograph) for CTDIvol?



Why should I participate in the ACR Lung Cancer Screening Registry?

Medicare requires data submission to an approved clinical practice registry as a condition for reimbursement for lung cancer screening exams. The ACR Lung Cancer Screening Registry (LCSR) is approved by CMS for this purpose.


As a CMS-approved lung cancer screening clinical practice registry, we require data to be submitted on all patients who undergo screening at your facility. We will provide participating facilities with facility-level and physician-level reports that contain comparisons between you and your peers on measures of interpretive quality. We will submit data to CMS data requested by them to validate registry participation.


If you are already a participant in NRDR, add LCSR to your NRDR registration.



Can a physician radiology group register?

Yes. The new facility registration form can be used by facilities, physician groups or other entities to register the locations at which you practice. If this is the first time your group is registering any of the sites where it practices, will first apply for a corporate account ID and then register each physical location within that account. See The Application Process for details.



What's the difference between the Lung Cancer Screening Registry and the ACR Lung Cancer Screening Center Designation?


Lung Cancer Screening Registry

ACR Lung Cancer Screening Center Designation

Required for CMS reimbursement

 Yes

No

Availability

  • Available to all facilities

  • Registration starting May 2015

  • Data submission: Summer 2015

  • Available to all facilities that have achieved ACR CT

  • Accreditation in at least the chest module

Fee

Dependent upon number of radiologists and sites involved

$400 per facility

Web Address

acr.org/Practice-Management-Quality-Informatics/Registries/Lung-Cancer-Screening-Registry

www.acraccreditation.org/Lung-Cancer-Screening-Center

Submission Requirements

Collect required data elements for submission to the registry interface

Mail or fax application, signed attestation, completed clinical data form with lung cancer screening protocol (based on average-size patient study) and fee

Specifications

Data Elements Dictionary

Technical Specifications

Summary

The ACR Lung Cancer Screening Registry is approved by the Center for Medicare and Medicaid Services to enable providers to meet quality reporting requirements to receive Medicare CT lung cancer screening payment.

The ACR Lung Cancer Screening Center Designation makes your site notable as a provider of safe, effective diagnostic care for those considered at high risk for lung cancer.



Do we have to report patient names, Social Security numbers and Medicare beneficiary IDs? Our legal staff is reluctant to release this information due to privacy concerns.

No. We do, however, require a patient ID that uniquely identifies each patient within your facility. It is important to note that without the Medicare beneficiary ID, we will be unable to document your compliance with the CMS reimbursement requirement to submit low-dose CT lung cancer screening data to a registry.



Are we required to report data on non-Medicare patients?

Yes. Documenting compliance with CMS reimbursement requirements is only one of the purposes of the LCSR. It primarily serves as a quality improvement tool for studying the benefits of low-dose CT lung cancer screening. By signing the LCSR participation agreement, you agree to report all low-dose CT lung cancer screening exams. However, you should not report data on participants of studies or clinical trials whose Institutional Review Board (IRB) has expressly prohibited such reporting.



Why is the LCSR collecting data elements that aren't required by CMS?

In order for CMS to approve the LCSR for meeting quality reporting requirements for reimbursement, the ACR submitted an application demonstrating the LCSR’s value for the assessment of quality of low-dose CT lung cancer screening. A panel of experts from the LCSR Committee determined which data elements would be essential for monitoring the quality of low-dose CT lung cancer screening. Because screening is performed on an asymptomatic population, there is an added responsibility for the medical community to ensure that risks and benefits are adequately measured and monitored. The additional data elements are essential for monitoring quality and ensuring that the benefits of screening in clinical practice meet or exceed the benefits found in research.



How often should I submit screening data to the LCSR?

You can submit data to the LCSR according to your schedule; however, we suggest that you submit data monthly.



When can I bill CMS for the technical and professional components of diagnostic imaging services — is it before or after submitting data to the LCSR?��

The time at which you bill for either component is entirely up to your workflow; however, it is assumed that you have submitted the low-dose CT exam data to the registry first.



How will CMS know that I have submitted low-dose lung screening data to the LCSR?

We send quarterly reports to CMS that detail the exam information provided to us during your data submission.



Should our radiologists use the ACR Lung Imaging Reporting and Data System (Lung-RADS™) in their dictation?

For the purposes of reporting to the LCSR data registry, your facility or group of radiologists should provide Lung-RADS Assessment Categories to the registry. We strongly recommend including the Lung-RADS Assessment in the radiologist’s final report, so it can be provided to the registry.



If a patient has had lung cancer but no longer does, are they still eligible for screenings?

Yes, provided the treating physician clears the patient for a screening. Usually patients remain in a surveillance program rather than a screening program. However, if the physician clears the patient for a screening, the ACR would like to have the data for the new screening exam.



What is the difference between percentile per scan and percentile per exam?

An exam consists of one or more scans. For example, assume a facility does one exam with one scan and one exam with five scans. That facility will get a number based on the two exams that is grouped in an exam percentile, and another number based on the total six scans that is grouped in a scan percentile.



In the event of a full-dose CT being completed by mistake instead of a low-dose exam, would it be appropriate to enter this case in the registry?

Yes, you should still enter the data into the registry. The registry is for collecting information on all exams for which the purpose of the exam was screening.  Ideally, it would be done with low dose. But if it is done at full dose, you should just enter the exam and the CTDIvol and DLP that were associated with that particular exam.



Why can’t I see any reports when trying to export lung data?

Make sure you are selecting the correct facility in the drop down in order to perform the export. If you’re not transmitting data it may be because you have the corporate account selected in the facility picker in the upper right corner, rather than the facility that is associated with the data.



When trying to enter a patient, I receive a pop-up stating Duplicate Case. I attempted to cancel the exam and re-enter, but it still won’t accept the data.

It’s likely the patient has already been entered into the system from a previous exam. In order to check, once you’ve logged in to NRDR select the Manage Patients tab from the menu on the left side of the page. Use the filter to search for the patient in question (please use the Manage Patients tab to determine which identifier was used). If you are trying to enter an annual exam, select Register New Exam from the NRDR page and use the purple search bar to search for your existing patient.



Can we request an extension for submitting LCSR data?

You must have your data submitted to the facility 30 days after the end of the quarter in order to have it incorporated in the current quarterly report cycle. If the last days falls on the weekend, then the data must be submitted by the following Monday. Any data not provided by the deadline will be incorporated in the next feedback report.

Example:

Q1 = Jan 1 – Mar 31. All data entry for Q1 is due no later than April 30.

Q2 = Apr 1 – June 30. All data entry for Q2 is due no later than July 31.

Q3 = July 1 – Sept 30. All data entry for Q3 is due no later than Oct 31.

Q4 = Oct 1 – Dec 31. All data entry for Q4 is due no later than Dec 31. 



Should CT scan projection radiographs (i.e., topograms, scouts or localizers) be included in the dosage date submitted to LCSR?

No.



Why do I have to enter the patient's Medicare Beneficiary ID?

If both the old Medicare Beneficiary ID and the new Medicare Beneficiary ID fields are null, the exam will not be submitted to CMS.



What if I'm entering data for a Medicare patient, and I don't have the patient's Medicare Beneficiary ID?

If the patient is a Medicare patient, and the patient's Medicare Beneficiary ID is not available, it is acceptable to enter the patient's insurance number in the old Medicare Beneficiary ID field.



Should we include the scout (CT scan projection radiograph) for CTDIvol?

If possible, please exclude it. The data elements should be focused on the actual CT scan itself.