Help Center

PQRS Program Guideline

Last Updated: Jun 22, 2017 04:13PM PDT

Physician Quality Reporting System (PQRS)

PQRS is a reporting program that requires Eligible Professionals (EPs) to track and report Clinical Quality Measures (CQMs) electronically. To participate in the CMS PQRS program, you are required to report data on quality measures for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad Retirement Board and Medicare Secondary Payer).

Am I eligible for PQRS?

Before you begin anything for PQRS, you must make sure that you are applicable and eligible for PQRS program. Please click here for the eHealth Eligibility Assessment Tool to check for your eligibility.

Goal

As of 2015, there is no longer an incentive for successfully reporting PQRS. 

If the EP fails not successfully attest PQRS for the 2016 reporting period, the EP will be assessed a 2% penalty for all Medicare fee-for-service payments in 2018.

PQRS Reporting Methods

You can either participate as an Eligible Professional (EP) or as a Group (2+ eligible professional who share the same Tax ID Number). However, some reporting methods may only be available to only EPs or groups.
Reporting Method  Deadline  Who can use this reporting method? 
A. EHR    2/28/2017   EPs who were on Elation on or before 1/1/2016 
B. Claims    2/24/2017   Individual EPs only
C. Qualified Registry    3/31/2017   Individual EPs and Groups
D. Qualified Clinical Data Registry   2/28/2017   Individual EPs only
E. GPRO Web   TBD   Groups Only

Unsure of which to choose? Check out the attached PDF, "PQRS Reporting Methods", that summarize each reporting method.

Please click here for CMS's complete PQRS timeline
 
More Questions? You can contact the PQRS experts at the CMS QualityNet Help Desk via
Phone: 866-288-8912 or Email: Qnetsupport@sdps.org

 
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