PQRS: Avoiding Penalties and Gaining Incentives for 2016 Still Possible

Tuesday, September 2, 2014

PQRS: Avoiding penalties and gaining incentives for 2016 still possible

To avoid the -2.0 penalty and receive a 0.5% incentive in 2016, eligible providers still have enough time in this reporting period (2014 calendar year) to capture the minimum of half of their Medicare Part B patient data for successful reporting to the Physician Quality Reporting System (PQRS).

Incentives or Penalties signs

In 2014, PQRS reporting options include:

  • Qualified Registry
  • Direct EHR
  • Qualified Clinical Data Registry
  • Group Practice Reporting Option (GPRO) Web Interface
  • CG-CAHPS Survey methods

Successful PQRS reporting requires that nine (9) individual measures that cover at least three (3) of the NQS Domains are reported to the Centers for Medicare and Medicaid (CMS) via Qualified Registry or via Direct EHR reporting that is 2014 CEHRT or reporting one (1) measures group for a 20-patient sample via registry.

Group Practice Reporting Option (GPRO) participants also can report using the Registry, Direct EHR methods, or by completing the documentation via Web Interface. The CG-CAHPS Survey is new for GPROs for 2014. Its submission to CMS is a requirement for GPROs with 100 or more providers. But GPROs of 25-99 also may submit the CG-CAHPS Survey along with six (6) individual measures that cover two (2) NQS Domains. CMS has added an additional 57 individual measures and three (3) new measures groups to accommodate as many providers and specialties as possible.

There is no registration for PQRS for individual, eligible providers. However, if providers wish to report as a group (GPRO), they must self-nominate to participate as a GPRO by September 30, 2014. The deadline to submit PQRS measures for 2014 is February 28, 2015.

Eligibility thumbnailPQRS Incentives Eligibility Payment Adjustments thumbnailPQRS 2014 Incentives and 2016 Payment Adjustments

Other Resources:

PQRS 2014-16 Timeline

Tara HatfieldPHA Managing Advisor Tara Hatfield, RN, BSN, has assisted in the Meaningful Use attestation and Physician Quality Reporting System (PQRS) submission for more than 100 healthcare providers.

Tags: Quality Services

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