What Is PQRS?
The Centers for Medicare & Medicaid Services (CMS) quality initiative, 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.
What Is the Financial Penalty for Not Participating in PQRS?
Individual eligible professionals (EPs) and group practices who do not satisfactorily report data on quality measures for covered professional services will be subject to a negative payment adjustment under the Physician Quality Reporting System (PQRS). The PQRS negative payment adjustment applies to all of the individual EP’s or group practice’s Part B covered professional services under the Medicare Physician Fee Schedule (MPFS). If your practice is not already reporting PQRS, consider implementing participation as soon as possible.
- PQRSwizard—See below for more information
- Electronic Health Record Reporting
- Registry Reporting
- CMS-Certified Survey Vendor
- Qualified Clinical Data Registry Reporting
- Group Practice Reporting Option
Individual Measures and Measure Groups for Chest Medicine
The applicable measure groups for chest medicine are COPD, sleep apnea, preventive care, and/or asthma. Information about measure groups and individual measures can be found on the CMS website.
What Is PQRSwizard?
The PQRSwizard is a fast, convenient, and cost-effective online tool to help collect and report quality measure data for the CMS PQRS incentive payment program. Similar to online tax preparation software, the PQRSwizard helps guide you through a few easy steps to help rapidly collect, validate, report, and submit the results to CMS for payment. The PQRSwizard is powered by the CECity Registry™, a CMS-qualified registry for PQRS reporting.
Why use PQRSwizard?
- Maximize your PQRS incentive
- Automatic data validation
- Minimize data entry time (requires as few as 20 patient records)
- Eliminate claims and coding
Many PQRS registries require that you collect data from 80% of all of your eligible Medicare patients. The PQRSwizard simplifies the entire process by using the measure group approach. Using the PQRSwizard, you only have to collect as few as 20 patient visits from the entire year to complete your report!
Plus, PQRSwizard has a built-in Progress Monitor that checks for missing data to validate your report. The Progress Monitor tracks your data to provide you with continuous feedback regarding valid patients and provides an alert when you have met all submission criteria and your data are ready to be reviewed and submitted. The system even calculates your measures and provides a printable report of your measure results in real time.
How Do I Participate?
Use the PQRSwizard to submit your PQRS data. All you need to do is register. Select your reporting method and then answer a few questions per patient. PQRSwizard takes the guessing out of PQRS participation–just follow the simple steps, and let the wizard do the rest!
How Much Does It Cost to Participate?
The cost is $249 per physician.
Where Do I Register?
If you would like to register, please visit the PQRSwizard website to get started.
If you have PQRS-related questions, please visit PQRSwizard support.
NOTE: Submission of data to CMS is not a guarantee of payment adjustment avoidance. You will need to satisfy and report each measure as required by the reporting method selected. Patient visits need not be consecutive patients as CMS formerly required.