4 Steps to Getting Started with PQRS
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Learn how to start participating in the Physician Quality Reporting System in just four steps.
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4 Steps to Getting Started with PQRS
- 1. 4 Steps to Getting Started with PQRS Reporting
- 3. 1. Earn incentives • 2013: 0.5% • 2014: 0.5% 2. Avoid penalties • 2015: 1.5% • 2016 and subsequent years: 2.0%
- 4. 3. Get double credit • Can use PQRS reporting to satisfy Meaningful Use CQM requirement
- 5. 4. Position for value- based reimbursement • Reporting of PQRS measures will determine application of CMS’ value- based payment modifier
- 6. How to Get Started 4 steps
- 7. Step 1: Determine your eligibility.
- 8. Professionals are eligible for PQRS if they provide services paid under/based upon the Medicare Physician Fee Schedule.
- 9. No signup or pre- registration is required.
- 10. Step 2: Choose a PQRS reporting method.
- 11. There are five methods: 1. Claims 2. Registry 3. Data submission vendor (DSV) 4. EHR Direct 5. Group practice reporting option (GPRO)
- 12. So how do you choose which method is right for you?
- 13. Factors to consider: • Cost • Your EHR • Risk • Complexity • Meaningful Use participation • Positioning for the future
- 14. Cost: • Some PQRS submission methods involve costs: • Registry-based • DSV • Other methods do not: • EHR direct
- 15. Your EHR • To submit PQRS measures via EHR Direct, you must have an EHR qualified by CMS to submit EHR Direct measures. • There are only 24 qualified EHR Direct vendors for 2013 PQRS.
- 16. Risk • Any time you convert data from one system to another, you risk losing data integrity. • Reporting through a registry or DSV that uses registry submission introduces this risk.
- 17. Complexity • Some options are more complex than others • Most complex: • Claims-based • Group reporting option
- 18. Meaningful Use Participation • CMS has aligned PQRS and Medicare EHR Incentive Program: • PQRS Medicare EHR Incentive Pilot
- 19. Step 3: Select PQRS measures to report.
- 20. Available measures will depend on the reporting method you choose. See www.cms.gov/pqrs for more information.
- 21. Step 4: Report your selected measures via your selected method.
- 22. The reporting period and process for reporting measures also depend on your chosen reporting method.
- 23. Want to learn more about PQRS? Watch a free recorded webinar at successehs.com/archived- webinars.
- 24. Need a health IT partner to help you achieve success with PQRS? SuccessEHS is a 2013 EHR Direct Qualified Vendor. Learn how we can help.
- 25. Visit www.successehs.com for more information.