PQRS Reporting Registry

PQRS Requirements for 2016 have changed.
Act now and avoid up to 6% Penalty.

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What is PQRS Reporting?

The Centers for Medicare and Medicaid Services (CMS) Physician Quality Reporting System (PQRS) is a reporting program that currently uses both incentive payments (bonus) and payment adjustments (penalty) to encourage physicians to submit quality information to CMS. The incentives and adjustments are based on payments for covered Medicare Part B Physician Fee Schedule (MPFS) services furnished to beneficiaries.

Calendar year 2014 was the last year for a PQRS incentive. Beyond 2015, there is potential to obtain an incentive under the Physician Value Based Payment Modifier (VM) program.

iPatientCare is glad to be announced as one of the PQRS registries by CMS. iPatientCare as a PQRS Registry provides a simple and cost-effective way for eligible physicians to collect and report quality measures data under the PQRS program.

Options for PQRS Reporting 2016

Individual Measure Reporting

To avoid the PQRS penalty for the applicable 12-month reporting period, the EP would report at least 9 measures, covering at least 3 of the NQS domains, OR, if less than 9 measures apply to the EP, report on each measure that is applicable, AND report each measure for at least 50 percent of the Medicare Part B FFS patients seen during the reporting period to which the measure applies. Measures with a 0 percent performance rate would not be counted. An EP who sees at least 1 Medicare patient in a face-to-face encounter must report on 1 cross-cutting measure.

Measures Group Reporting

To avoid the PQRS penalty for the applicable 12-month reporting period, report at least 1 measures group AND report each measures group for at least 20 patients, the majority (11 patients) of which must be Medicare Part B FFS patients. Measures groups containing a measure with a 0 percent performance rate will not be counted.

Why choose iPatientCare PQRS Registry?

iPatientCare PQRS Registry offers a fast, convenient, and cost-effective online tool to collect and report quality data for the CMS PQRS program. By signing up with iPatientCare PQRS Registry, all your PQRS reporting based hassles will be handled by our experts.

Participating in the PQRS program is as
easy as the following four steps:

  • Step 1: Select Measure and time period
  • Step 2: Register for PQRS program
  • Step 3: Enter clinical data for 20 patients for Measure Group reporting, of which 11 must be Medicare Part B patients
    OR
    50 percent of eligible instances of your Medicare Part B patients for individual Measures reporting
  • Step 4: Upload data into iPatientCare PQRS Registry and iPatientCare submits the data to CMS

iPatientCare PQRS registry offers the following benefits:

  • Intuitive interface for data entry to minimize time and effort
  • Ability to import data using .xls files as an alternate to data-entry
  • Automatic validation of data
  • Feedback mechanism for quality improvement to maximize benefits.
  • Options for entering/importing as few as 20 patient records
  • Ability to view progress through dashboards.

Important 2016
PQRS Changes

  • There is no incentive payment for 2016 PQRS reporting
  • EPs not reporting the 2016 PQRS measures are subject to negative payment adjustment of 4% for solo providers and groups with 2-9 providers (2% value modifier penalty + 2% PQRS penalty) in 2018.
  • EPs not reporting the 2016 PQRS measures are subject to negative payment adjustment of 6% for groups with ten or more providers (4% value modifier penalty + 2% PQRS penalty) in 2018.)

Words from Our Clients

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Gobind Garg

We have always been leading all quality reporting initiatives from CMS and other payers for many years. Participating in PQRS quality program has been one of our chosen endeavors, and iPatientCare makes it extremely easy and achievable through its intuitive EHR, MU/PQRS Dashboard, and also the CMS Qualified PQRS Registry. We are very happy with the excellent support and service provided by MU and PQRS team from iPatientCare to enable us to achieve our goal.

MD, Gobind Garg PLLC.

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