PQRS - Physician Quality Reporting System

This option is available to Advanced subscribers only.

Watch a brief YouTube movie and see how easy it is to report on PQRS using ICD10Doc.

1. You can search for a PQRS measure using the free-text search from the landing page or using the PQRS, CMS or NQF measure number and the reverse search functionality.
On the intial results page, in the PQRS box - you can click on the PQRS link that interests you and ICD10Doc will take you to the PQRS details page.













On the PQRS details page, you can review the title, desciption, PQRS, CMS or NQF identifiers, reporting methods, sponsors and stewards and the ICD-9, ICD-10 and CPT related to this quality measure as well other quality programs using this measure.

2. When reviewing an ICD-9 or ICD-10 Diagnosis or CPT that interests you, in the PQRS related information box, you may see PQRS related links to those measures that include the diagnosis / CPT in their definition of the PQRS measure.





See below details on the various parameters related to PQRS.

Background

Quality measures are indicators of the quality of care provided by physicians. They are tools that help CMS measure or quantify health care processes, outcomes, patient perceptions, and organizational structure and/or systems that are associated with the ability to provide high-quality health care and/or that relate to one or more quality goals for health care. These goals include: effective, safe, efficient, patient-centered, equitable, and timely care.
PQRS is a quality reporting program that uses negative payment adjustments to promote reporting of quality information by individual EPs and group practices.
Those who do not satisfactorily report data on quality measures for covered Medicare Physician Fee Schedule (MPFS) services furnished to Medicare Part B beneficiaries (including Railroad Retirement Board, Medicare Secondary Payer, and Critical Access Hospitals [CAH] method II) will be subject to a negative payment adjustment under PQRS.
Medicare Part C–Medicare Advantage beneficiaries are not included. Reporters may choose from the following reporting options to submit their quality data:

Reporting electronically using an electronic health record (EHR)
Qualified Registry
Qualified Clinical Data Registry (QCDR)
PQRS Group Practice Reporting Option (GPRO) via Web Interface
CMS-Certified Survey Vendor
Claims
Beginning in 2015, CAHs using billing method II may participate in PQRS by all reporting mechanisms including claims-based reporting.

From CMS web site: "All EPs who do not meet the criteria for satisfactory reporting or participating for 2015 PQRS will be subject to the 2017 negative payment adjustment with no exceptions."

For more information on PQRS visit CMS web site
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