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PQRS: Qualified Registry-Based Submission

Last Updated: Jun 21, 2017 10:10AM PDT
Reporting for PQRS via Qualified Registry means that you contract with a qualified registry to have the registry submit data on your behalf. Cost to work with registry is approximately $200 - $400 per Eligible Professional

Reporting via Qualified Registry is different from reporting via QCDR

  • QCDR (Qualified Clinical Data Registry): A QCDR is a CMS-approved entity that collects medical and/or clinical data for the purpose of patient and disease tracking to foster improvement in the quality of care provided to patients. A QCDR will complete the collection and submission of PQRS quality measures data on behalf of EPs so that they may meet criteria for satisfactorily participating in 2015 PQRS. The data submitted to CMS via a QCDR covers quality measures across multiple payers and is not limited to Medicare.
  • Qualified Registry: A qualified registry is an entity that collects clinical data from an EP or PQRS group practice and submits it to CMS on behalf of the participants.

How to Report using Qualified Registry

1. Select a qualified registry approved by CMS here (Not sure which registry to choose? Try PQRSWizard on Page 8).

2. Choose one of the following options for reporting:

A. FOR GROUPS AND EPs: Report on at least 9 individual measures covering at least 3 NQS domains for at least 50% of the EP’s Medicare Part B FFS patients.
  • Measures with a 0% performance rate will not be counted
  • An EP who sees at least 1 Medicare patient (face-to-face encounter) must report on 1 cross-cutting measure.
  • **A group practice is a group of providers that identify under 1 TIN (Tax ID Number), and must have registered to report via qualified registry under the GPRO for 2015 PQRS. **

​B. FOR EPs ONLY: Report at least 1 measures group on a 20-patient sample, a majority of which (at least 11 out of 20) must be Medicare Part B FFS patients.
  • Click here for a list of the Measure Groups. To help identify which patients qualify for each measures group, use Elation's Patient List Report! Please use the attached guide for instructions on how to use Elation's Patient List to identify the 20 patients to report on.  

Reference
Pages 15 & 16 of http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2015_PQRS_ImplementationGuide.pdf
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