CMS is pleased to announce that the 2013 Physician Quality Reporting System (PQRS) incentive payments are now available for eligible professionals and group practices who submitted data for Medicare Physician Fee Schedule Part B services between January 1, 2013 and December 31, 2013. The PQRS incentive payments are for EPs and groups practices who met…
The Physician Value-Physician Quality Reporting System (PV-PQRS) Registration System is open for authorized representatives of group practices to register to participate in the PQRS Group Practice Reporting Option (GPRO CMS) for CY 2014 via Qualified PQRS Registry, Electronic Health Record Incentive Program (EHR)or Web Interface (limited to groups with 25 or more eligible professionals (EPs)…
Physician Quality Reporting System (PQRS) is a pay-for-reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals (EPs). A Qualified Clinical Data Registry (QCDR) is one of the reporting mechanisms available within PQRS. The collection and submission of PQRS quality measures data on behalf of EPs…
Effective July 1, 2014, Eligible professionals who bill on a $0.00 Quality-Data Code (QDC) line item will receive the N620 code, which replaces the current N365 code. Also, eligible professionals who bill on a $0.01 QDC line item will receive the CO 246 N572 code. The new RARC code N620 will be your indication that…
In May, 2014, CMS will begin accepting quality measure suggestions for potential inclusion in the proposed set of quality measures in the Physician Quality Reporting System (PQRS) for future rule-making years. Quality measures submitted in this Call for Measures also will be considered for use in other quality programs for physicians and other eligible professionals…
PQRS Cosmetic surgery or expenses incurred in connection with such surgery is not covered. PQRS Cosmetic surgery includes any surgical procedure directed at improving appearance, except when required for the prompt (i.e., as soon as medically feasible) repair of accidental injury or for the improvement of the functioning of a malformed body member. For example,…
Measure # 79 End Stage Renal Disease (ESRD): Influenza Immunization in Patients with ESRD Measure # 94 Otitis Media with Effusion (OME): Diagnostic Evaluation – Assessment of Tympanic Membrane Mobility Measure # 135 Chronic Kidney Disease (CKD): Influenza Immunization Measure # 153 Chronic Kidney Disease (CKD): Referral for Arteriovenous (AV) Fistula Measure # 175 Pediatric…
* If only one eligible professional in the group practice satisfactorily reports Physician Quality Reporting System quality measures, how will the financial incentive be calculated and paid? The analysis of satisfactory reporting for Physician Quality Reporting will be performed at the individual eligible professional level for each NPI/TIN, using the individual-level NPI. Incentives earned by…
2011 Physician Quality Reporting System (Physician Quality Reporting) Measure Specifications Manual for Claims and Registry Release Notes CMS is pleased to announce the release of the 2011 Physician Quality Reporting System (“Physician Quality Reporting”, formerly known as Physician Quality Reporting Initiative or PQRI) Measure Specifications Manual for Claims and Registry Release Notes. Measure developers, professional…
2011 Physician Quality Reporting System (“Physician Quality Reporting,” formerly known as Physician Quality Reporting Initiative or PQRI). Each measure is assigned a unique number. Measure numbers for 2011 Physician Quality Reporting represent a continuation in numbering from the 2010 measures. For 2010 PQRI measures that are continuing forward in the 2011 Physician Quality Reporting System,…