Document Name Document Type
Form CMS-10210 Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Data Accuracy and Completeness Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Hospital VPB Review and Corrections Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Extraordinary Circumstances Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Hospital Compare Request Form for Withholding/Footnoting Data for Public Reporting Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 IQR Notice of Participation Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 IQR Reconsideration Request Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Validation Review for Reconsideration Request Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 VBP Appeal Request Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 HVBP CMS Independent Review Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Validation Educational Review Form Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Maternal Morbidity Structural Measure Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Population and Sampling Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 Hospital Inpatient Quality Reporting Program Denominator Declaration Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
Form CMS-10210 THA/TKA Patient-Reported Outcome-based Performance Measure Quality Measures and Procedures for Hospital Reporting of Quality Data Form and Instruction
CMS-10210 Data Accuracy and Completeness Form 02. Hospital Quality Reporting Data Accuracy and Completeness Acknowledgement (DACA)_vFINAL_508.pdf Form and Instruction
CMS-10210 Data Accuracy and Completeness Form 02. Hospital Quality Reporting Data Accuracy and Completeness Acknowledgement (DACA)_vFINAL_508.pdf Form and Instruction
CMS-10210 Hospital VPB Review and Corrections Form 14. Hospital Value-Based Purchasing (VBP) Program Review and Corrections Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Hospital VPB Review and Corrections Form 14. Hospital Value-Based Purchasing (VBP) Program Review and Corrections Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Extraordinary Circumstances Form 06. CMS Quality Program ECE Request Form_CY 2026_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Extraordinary Circumstances Form 06. CMS Quality Program ECE Request Form_CY 2026_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Hospital Compare Request Form for Withholding/Footnoting 03. Care Compare Withholding Footnoting Request Form_CY 2026_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Hospital Compare Request Form for Withholding/Footnoting 03. Care Compare Withholding Footnoting Request Form_CY 2026_vFINAL_508ff.pdf Form and Instruction
CMS-10210 IQR Notice of Participation Form 01. Hospital Inpatient Quality Reporting Notice of Participation_vFINAL_508.pdf Form and Instruction
CMS-10210 IQR Notice of Participation Form 01. Hospital Inpatient Quality Reporting Notice of Participation_vFINAL_508.pdf Form and Instruction
CMS-10210 IQR Reconsideration Request Form 04. CMS Quality Reporting Program APU Reconsideration Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 IQR Reconsideration Request Form 04. CMS Quality Reporting Program APU Reconsideration Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Validation Review for Reconsideration Request 05. CMS Hospital IQR Program Validation Review for Reconsideration Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Validation Review for Reconsideration Request 05. CMS Hospital IQR Program Validation Review for Reconsideration Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 VBP Appeal Request Form 15. Hospital Value-Based Purchasing (VBP) Program Appeal Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 VBP Appeal Request Form 15. Hospital Value-Based Purchasing (VBP) Program Appeal Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 HVBP CMS Independent Review Form 16. Hospital Value-Based Purchasing (VBP) Program Independent CMS Review Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 HVBP CMS Independent Review Form 16. Hospital Value-Based Purchasing (VBP) Program Independent CMS Review Request Form_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Validation Educational Review Form 09. HQR_ValEdReviewForm_01_2026_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Validation Educational Review Form 09. HQR_ValEdReviewForm_01_2026_vFINAL_508ff.pdf Form and Instruction
CMS-10210 Maternal Morbidity Structural Measure 07. Maternal Morbidity Structural Measure_vFINAL_508.pdf Form and Instruction
CMS-10210 Maternal Morbidity Structural Measure 07. Maternal Morbidity Structural Measure_vFINAL_508.pdf Form and Instruction
CMS-10210 Population and Sampling 08. Population and Sampling_vFINAL_508.pdf Form and Instruction
CMS-10210 Population and Sampling 08. Population and Sampling_vFINAL_508.pdf Form and Instruction
CMS-10210 Hospital Inpatient Quality Reporting Program Denominator 10. Denominator Declaration_vFINAL_508.pdf Form and Instruction
CMS-10210 Hospital Inpatient Quality Reporting Program Denominator 10. Denominator Declaration_vFINAL_508.pdf Form and Instruction
CMS-10210 THA/TKA Patient-Reported Outcome-based Performance Measu 11. THA_TKA PRO-PM_vFINAL_508.pdf Form and Instruction
CMS-10210 THA/TKA Patient-Reported Outcome-based Performance Measu 11. THA_TKA PRO-PM_vFINAL_508.pdf Form and Instruction
00. Summary of HQR Information Collection Forms - FY2026 IPPS Final Rule_508.pdf Summary of Updates on HIQR Collection Forms IC Document
00. Summary of HQR Information Collection Forms - FY2026 IPPS Final Rule_508.pdf Summary of Updates on HIQR Collection Forms IC Document

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.