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( 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( is available on the CMS web site.

The American Medical Association also maintains an inventory of national clinical registries(


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.