Pathway for Physician Quality Ratings

Hi All,
Hoping someone has knowledge of the specific pathway that the coding summary/abstract follows when we explain that billing is the first stop, the codes then "go on to other initiatives such as quality reporting, value based purchasing, research (all those circles) on our diagrams.

Our surgeons specifically want to know who reports their data-how do they get it-is it from CMS? Does CMS and other payers send it to a particular organization?

Leapfrog, healthgrades, others? who are they and specifically where do they all get their data from? Also, how current is it?
Thanks!!
Charrington "Charlie" Morell

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