Physician Quality Reporting System (PQRS) Online Toolkit Transcript The Physician Quality Reporting System, or PQRS, is a voluntary reporting program developed by the Centers for Medicare and Medicaid Services, that can result in financial incentive for eligible professionals who satisfactorily report performance data for quality measures for covered professional services or receive a penalty for not participating. The PQRS program is a key step in support of the US Department of Health and Human Services National Quality strategy, to facilitate and guide health care quality improvement efforts throughout the country. This strategy focuses on three broad aims of better health care for patients, better health for our communities, and lower costs through improvement for our health care system.
The PQRS program is designed to support the National Quality Strategy, help consumers identify those eligible professionals who are reporting measures, measure the quality of care patients receive, provide feedback to help eligible professionals improve care, and provide potential incentives, based on high quality and low cost of care. Practices new to the Physician Quality Reporting System may initially find they have questions or require additional information.
To assist these practices, the TMF QIN-QIO has created an online PQRS toolkit. The online tool kit featured at www.tmfqin.org provides updated information for 2014, including payment adjustments, new reporting requirements, and other changes. The toolkit provides step-by-step guidance on PQRS, including how to register and report. It also provides basic information to assist eligible professionals in determining whether to report PQRS measures individually or as part of a group.
A helpful table provides details on the methods of reporting with information on the criteria, potential issues, and helpful tips provided by the TMF QIN-QIOs experienced consultants. In addition, the PQRS toolkit provides an explanation of feedback reports, the appeals process, the value-based modifier program, and offers links to other helpful resources. The TMF QIN-QIOs quality improvement consultants assisted more than 200 eligible professionals to successfully report for the 2011, 2012, and 2013 PQRS by direct EHR submission and have created this online toolkit to share their knowledge and assist eligible professionals to take that next step.