CMS Physician Quality Reporting System (PQRS)

PQRS and Your Practice

Physician Quality Reporting System 

  • 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 began in 2015 and will continue through 2018 for those who did not successfully report two years earlier (e.g. -2.0% in 2017 and 2018 if no successful reporting in 2015 and 2016, 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 PQRSwizard, a simple and cost-effective online tool that collects and reports quality measures data under the CMS PQRS program.

Use PQRSwizard to organize clinical data and to help provide evidence-based care to your patients.