2016 PQRS Performance Rates and MeasuresTuesday, June 7, 2016
What are the performance rates and measures for PQRS? There are 2 reporting rates that are taken into consideration under PQRS: Reporting Rate and Performance Rate. The reporting rate refers to how many Medicare Part B beneficiaries were reported for in each measure reported. The requirement for successful PQRS reporting is that at least 50% of all Medicare beneficiaries eligible for measure must be reported on.
The Performance Rate is the number of the Medicare beneficiaries reported for a measure that counted positively in the numerator of the measure. Unless the measure is an inverse measure (where a zero in the numerator is indicates better quality), each measure must score greater than 0% to be considered successfully reported. There is no additional threshold. Most PQRS reporting methods require 9 PQRS measures that cover 3 National Quality Strategy (NQS) domains to be reported. Other methods have additional measure reporting options such as Measures Group reporting available for individual reporters using a PQRS registry or the GPRO Web Interface that has a set of 17 predetermined measures for group reporters.
Additionally, a Cross-Cutting measure must be included in the set of measures each provider or GPRO selects to report. A Cross-Cutting measure is a measure that is broadly applicable to most practices and specialties.
Writer: Tara Hatfield, 812-525-0023, firstname.lastname@example.org
Tags: Quality Services