CMS Physician Quality Reporting System (PQRS)
PQRS and Your Practice
Bonuses available now, but you must start reporting in 2013 to avoid a penalty in 2015.
|Bonuses & Future Penalties|
|Bonuses & Future Penalties: 2013||0.5 % if no MOC; 1% if MOC*|
|Bonuses & Future Penalties: 2014||0.5%|
|Bonuses & Future Penalties: 2015||-1.5% if no successful reporting for 2013|
|Bonuses & Future Penalties: 2016||-2%|
*The only PQRS-Maintenance of Certification (MOC) module from the American Board of Family Medicine is diabetes.
AAFP PQRI Wizard
Quality measures reporting is easy with PQRI Wizard(aafp.pqriwizard.com), a simple and cost-effective online tool that collects and reports quality measures data under the CMS PQRS incentive payment program.
Use PQRI Wizard(aafp.pqriwizard.com) to organize clinical data and to help provide evidence-based care to your patients.
- Earlier referred to as Physician Quality Reporting Initiative (PQRI)
- Requires both NPI and tax ID number
- Pay-for-reporting, not pay-for-performance
- Initially required CPT II or “G” codes along with billing codes on claims; now there are four ways to participate
- Registry participation is the most promising path for small- and medium-sized practices
- PQRS is not a substitute for local quality improvement efforts
PQRS Reporting Options
- Medicare Part B claims-based reporting (CPT II or G codes)
- Reporting to a CMS-approved registry (PQRI Wizard(aafp.pqriwizard.com) is one option)
- Via qualified electronic health record product
- EHR data reporting through a qualified Physician Quality Reporting data submission vendor
A list of CMS qualified registries for 2013(www.cms.gov) is available on the CMS web site.
For claims reporting: a Physician Quality Reporting System (PQRS) Toolkit(www.ama-assn.org) is now available on the AMA web site. These tools include a description, specifications and data collection sheet for all PQRS claims measures, as well as links for the individual measures or measures groups.