4 Steps to Getting Started with PQRS

4 Steps to Getting Started with PQRS

Reporting

Why PQRS?4 reasons

1. Earn incentives• 2013: 0.5%• 2014: 0.5%

2. Avoid penalties• 2015: 1.5%• 2016 and subsequent

years: 2.0%

3. Get double credit • Can use PQRS reporting to

satisfy Meaningful Use CQM requirement

4. Position for value-based reimbursement• Reporting of PQRS

measures will determine application of CMS’ value-based payment modifier

How to Get Started4 steps

Step 1: Determine your eligibility.

Professionals are eligible for PQRS if they provide

services paid under/based upon the Medicare

Physician Fee Schedule.

No signup or pre-registration is required.

Step 2: Choose a PQRS reporting method.

There are five methods:1. Claims2. Registry3. Data submission vendor (DSV)4. EHR Direct5. Group practice reporting

option (GPRO)

So how do you choose which method is right for

you?

Factors to consider:• Cost• Your EHR• Risk• Complexity• Meaningful Use participation• Positioning for the future

Cost:• Some PQRS submission

methods involve costs:• Registry-based• DSV

• Other methods do not:• EHR direct

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.

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.

Complexity• Some options are more

complex than others• Most complex:

• Claims-based• Group reporting option

Meaningful Use Participation

• CMS has aligned PQRS and Medicare EHR Incentive Program:• PQRS Medicare EHR

Incentive Pilot

Step 3: Select PQRS measures to report.

Available measures will depend on the reporting method you choose. See www.cms.gov/pqrs for

more information.

Step 4: Report your selected measures via your

selected method.

The reporting period and process for reporting

measures also depend on your chosen reporting

method.

Want to learn more about PQRS?

Watch a free recorded webinar at

successehs.com/archived-webinars.

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.

Visit www.successehs.comfor more information.