CMS Physician Quality Reporting System (PQRS)
PQRS and Your Practice
- Pay-for-reporting, not pay-for-performance
- Multiple ways to participate/report
- Registry participation is the most promising path for small- and medium-sized practices
- PQRS is not a substitute for local quality improvement efforts
- Penalties in 2015 and beyond for those who did not successfully report two years earlier (e.g., -1.5% in 2015 if no successful reporting in 2013; -2.0% in 2016 and 2017 if no successful reporting in 2014 and 2015, respectively)
- PQRS outcomes are partially used to calculate the value-based payment modifier
- In 2019 and beyond, PQRS will be replaced by the merit-based incentive payment system (MIPS)
PQRS Reporting Options
- Medicare Part B claims-based reporting (CPT II or G codes)
- Reporting to a CMS-approved registry (PQRS Wizard(aafp.pqrswizard.com) is one option)
- Via qualified electronic health record product
- EHR data reporting through a qualified Physician Quality Reporting data submission vendor
- Group practice reporting option
- Qualified clinical data registry
A list of CMS qualified registries(www.cms.gov) is available on the CMS web site.
The American Medical Association also maintains an inventory of national clinical registries(www.ama-assn.org).
AAFP PQRS Wizard
Quality measures reporting is easy with PQRS Wizard, a simple and cost-effective online tool that collects and reports quality measures data under the CMS PQRS program.
Use PQRS Wizard to organize clinical data and to help provide evidence-based care to your patients.