Physician Quality Reporting System (PQRS)

PQRS is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals (EPs).

The program provides an incentive payment to practices with EPs (identified on claims by their individual National Provider Identifier [NPI] and Tax Identification Number [TIN]). EPs satisfactorily 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).

AVOID PQRS 2016 PENALTY

By now physicians/eligible providers who have not applied or submitted for PQRS are receiving letters of penalty for 2015 reimbursements. It is not too late to avoid penalty for 2016 reimbursements. Please reach out to MD-Reports for further details. For more information about PQRS, including how to avoid payment adjustments, please visit the CMS PQRS website: http://www.cms.gov/PQRS.

2014 PQRS

To participate in the 2014 PQRS, individual EPs may choose to report information on individual PQRS quality measures or measures groups using the following methods:

(1) Medicare Part B claims
(2) Qualified registry
(3) Direct electronic health record (EHR) using certified EHR technology (CEHRT)
(4) CEHRT via Data Submission Vendor
(5) Qualified Clinical Data Registry

Individual EPs who meet the criteria for satisfactory submission of PQRS quality measures data via one of the reporting mechanisms above for services furnished during a 2014 reporting period will qualify to earn a PQRS incentive payment equal to 0.5% of their total estimated Medicare Part B Physician Fee Schedule (PFS) allowed charges for covered professional services furnished during that same reporting period.

Helpful Links & Information on PQRS

If you have questions or need assistance with PQRS reporting please contact MD-Reports at 718.982.1315. Email: info@md-reports.com

Contact the CMS QualityNet Help Desk. The help desk is available Monday – Friday; 7:00 AM – 7:00 PM CST: Phone: 1-866-288-8912. Email: Qnetsupport@sdps.org

PQRS – How to Get Started

* Disclaimer: MD-REPORTS does not claim or guarantee the reimbursements of Medicare/Medicaid Incentive payments to physicians/eligible professionals. MD-Reports is a certified and qualified Meaningful Use EHR system and thus gives the physicians eligibility for the reimbursements of incentive payments from Medicare/Medicaid. However, MD-Reports is not responsible in any way for automatically making the EPs eligible for collecting the incentive payments or avoiding payments. It is the EPs responsibility for adopting the system and entering the data into EMR system, as per CMS requirements and criteria in order to be eligible for Meaningful Use criteria or for Applying or avoiding PQRS related information.