CMS Physician Quality Reporting System (PQRS)

PQRS and Your Practice

PQRS

  • Pay-for-reporting, not pay-for-performance
  • Multiple 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
  • 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)

PQRS Reporting Options

  • Medicare Part B claims-based reporting (CPT II or G codes)
  • Reporting to a CMS-approved registry (PQRS 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
  • Group practice reporting option
  • Qualified clinical data registry

Qualified Registries

A list of CMS qualified registries(www.cms.gov) is available on the CMS web site.

Claims Reporting

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.

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.

March Deadline for 2014 PQRS Reporting

Time is running out to report 2014 PQRS data via the PQRS Wizard.

Eligible professionals have until March 20, 2015 to submit their 2014 data. Doing so ensures:

  • Earning a .5% bonus for 2014
  • Avoiding a 2% penalty in 2016

Log in to the PQRS Wizard »(aafp.pqriwizard.com)