Physician Quality Reporting System PQRS

EMR Doctor can bring your practice into compliance with Physician Quality Reporting System (PQRS),  preventing future penalties of up to 4% of total reimbursement.

  • We will research and implement quality reporting on the nine measures that are most appropriate for your practice, including the required cross cutting measures. 
  • We will  document qualifying patient histories for PQRS submittal.
  • We will handle all PQRS submittal requirements including finding the appropriate PQRS registry for your practice and entering accurate patient information for PQRS registry submittal.  
  • We will help redesign practice workflow in order to simplify future PQRS registry.

About PQRS (from CMS.gov)

The Physician Quality Reporting System PQRS is a quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care to Medicare. PQRS gives participating EPs and group practices the opportunity to assess the quality of care they provide to their patients, helping to ensure that patients get the right care at the right time.

By reporting on PQRS quality measures, individual EPs and group practices can also quantify how often they are meeting a particular quality metric. Beginning in 2015, the program applied a negative payment adjustment to individual EPs and PQRS group practices who did not satisfactorily report data on quality measures for Medicare Part B Physician Fee Schedule (MPFS) covered professional services in 2013. Those who report satisfactorily for the 2015 program year will avoid the 2017 PQRS negative payment adjustment. Note: PQRS was formerly known as the Physician Quality Reporting Initiative (PQRI). From CMS

The EMR Doctor can satisfy the PQRS measures and reporting as part of a bundle of services which often includes Meaningful Use Attestation. It is important to take the first step in order to avoid hefty penalties. By successfully completing this Physician Quality Reporting System (PQRS), a CMS mandated program during 2016, practices can avoid hefty penalties in 2018.

The PQRS penalty is called  a “negative payment adjustment”, because it is deducted as a percentage of Medicare Part B Physician Fee Schedule (MPFS) payments.  Negative payment adjustments to providers are a key part of the Federal Government’s plan to fund the Affordable Care Act(ACA) and the adjustments will increase each year a practice fails to report on PQRS.

The PQRS negative payment adjustment penalties are often difficult for practice staff to decipher and realize, as they are shown in such a way on the remittance which does not emphasize that it has been applied. Notification is mailed to practices indicating that the individual EPs (Eligible Professional) or group practice did not satisfactorily report for the program year, and will be subject to the negative payment adjustment (penalty). Once a practice receives the notice,  it is too late to fix the situation for that year.

The notice, however,  should be a very loud reminder to call upon a professional to put the practice on track to successfully report PQRS for the current year.

Physician Quality Reporting System PQRS