Say Yes to Pqrs: 5 Things You Need to Know for prosperous Reporting

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Four years after its introduction, the Pqrs agenda (Physician quality Reporting System) continues to frustrate providers and office staffs. Complaints about a lack of timely feedback and obscuring about how to sort through the endless maze of information on the Cms website are just some of the challenges facing practices. An insight of the background and benefits of the agenda is the first step towards thriving reporting. So let's describe some agenda basics.

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1. Pqrs is here to stay

The Pqrs program, at one time Pqri (Physician quality Reporting Initiative), was created in 2006 as part of the Tax Relief and health Care Act. This act required the creation of a voluntary agenda where eligible providers could receive an incentive for reporting on quality health measures with the goal that clinical data would help drive correction in health care and sell out costs. Currently, the Pqrs agenda is focused on data collection. Success is defined as either providers satisfactorily description the measures; however, it is anticipated that Pqrs will transition from a pay-for-reporting law to a pay-for-performance law in the future.

2. Many are eligible to participate

The Pqrs agenda is open to many distinct professionals along with Doctors of Medicine, Osteopathy, Podiatry, Optometry, Oral Surgery, Chiropractic, and Dental Medicine. Practitioners along with doctor Assistants, Nurse Practitioners, Clinical Nurse Specialists and Clinical public Workers are also eligible as are corporal and Occupational Therapists. One in five eligible professionals currently partake in Pqrs with participation increasing 50% each year since 2007. For a unblemished list of eligible professionals visit our website.

3. Measures and more measures

For 2011 there are 190 individual measures and 14 measures groups that you can report. Since 2007, participation has steadily increased as the agenda has wide to comprise measures which motion to a broader range of providers. You have the option to either description on individual measures or measures groups. A measures group is a collection of connected individual measures such as diabetes, back pain, and heart failure. How many measures and patients you must description on to be thought about a thriving Pqrs reporter depends upon the reporting mechanism and reporting period you opt as well as either you description as an individual provider or as part of a group. For a unblemished list of Pqrs measures click on:

http://www.cms.gov/Pqrs/15_MeasuresCodes.asp#TopOfPage

4. No excuse not to participate

Just as there are a collection of measures, there are several reporting mechanisms, reporting periods, and participation options you may select.

You can choose from three distinct reporting mechanisms:

Claims Qualified registry Qualified electronic health record

and two distinct reporting periods:

12 month period from January 1, 2011 through December 31, 2011 6 month reporting period from July 1, 2011 through December 31, 2011

and finally, three participation options:

Individual Group of 200 or more eligible professionals Group of 2 to 199 eligible professionals

Just as with measure selection, you must thought about reconsider which reporting mechanism and reporting period is the right explication for your practice.

5. thriving reporting = Incentive!

An eligible provider who successfully reports Pqrs measures will receive an incentive equal to a division of their total estimated Medicare Part B doctor Fee agenda allowed charges for covered professional services furnished during the reporting period. Currently, the Pqrs agenda is voluntary; however, starting in 2015 failure to successfully description will supervene in a cost adjustment of your Part B doctor Fee agenda amounts for covered professional services. The table below summarizes the incentive and adjustment schedule.

Year, Incentive Payment, cost Adjustment

2011 1% N/A

2012 0.5% N/A

2013 0.5% N/A

2014 0.5% N/A

2015 0% -1.5%

2016 and subsequent years 0% -2.0%

In this age of declining repayment your institution cannot afford to pass up on payer incentive programs such as Pqrs. Start reporting today so you can claim your share of the incentive.

© 2011 Efficiency in Practice

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