Graphium QCDR · 2026 Improvement Activity · Care Coordination
IA_CC_19 · Tracking of clinician's relationship to and responsibility for a patient by reporting MACRA patient relationship codes
Subcategory: Care Coordination
Activity Description: Attest that you reported MACRA patient relationship codes using the applicable HCPCS modifiers on 50% or more of your Medicare claims for a minimum continuous 90-day period within the performance period.
Note: This is a billing-side activity. Coordinate with your billing company before attesting, since it requires a verifiable 50% modifier rate.
Remember the ground rules: generally at least 90 consecutive days unless the activity specifies otherwise. For group attestation, at least 50% of the clinicians must perform the same activity, but their periods do not need to overlap. Retain documentation for six years after submission. Details on the activities overview.
CMS references
For the 2026 performance year. Use current CMS guidance alongside these Graphium educational materials.