PQRS provides a structured means for participants to assess their performance on specific quality measures, and the opportunity to use CMS feedback to compare their performance with peers nationwide.
Through PQRS, CMS distributes incentive payments for high quality care. Beginning in 2015, the program also applies a payment adjustment (penalty) to eligible professionals who do not satisfactorily report data.
2016 is the final year of the EHR Incentive Program. Recent legislation is changing how clinical practices across the United States will be paid.
PQRS quality reporting can affect your future Medicare reimbursement rates for the individual providers in your practice, clinic or hospital as a whole. PQRS reporting (or non-reporting) affects payments two years later. PQRS data submitted for the 2015 calendar year will affect 2017 reimbursement rates through both a payment adjustment and the value modifier.
Qualis Health is helping Practice Innovation Network members report our program measures via EHR.
The types of measures reported under PQRS change from year to year. The measures generally vary by specialty, and focus on areas such as care coordination, patient safety and engagement, clinical process/effectiveness, and population/public health. They can also vary by reporting method. Review the current measures, and factors to help you decide which to report, on the PQRS measures page.