Quick PQRS Reference Card for Hospitalists
Sorting Out the Acronyms: 2014 PQRS and VBPM
Report Quality Measures in the PQRS Wizard
(Under the PQRS Tab)
The Physician Quality Reporting System (PQRS) is a CMS-mandated reporting system to be used by providers and group practices to capture quality information on selected measures. Using the federal rulemaking process, the Centers for Medicare and Medicaid Services (CMS) updates the program and its quality measures every year in the Physician Fee Schedule.
Eligible professionals (EPs) who successfully report quality measures receive an incentive payment for participation through 2014. Beginning in 2015, eligible professionals who do not successfully report to PQRS will face a 1.5 percent penalty in their covered professional services.
Penalties for Not Reporting
0.5% of 2014 Part B fees
2.0% of 2016 Part B fees
2.0% of 2014 Part B fees
EPs have the option to report on quality measures that reflect their practice patterns and patient population. There are more than 250 physician-level performance measures available for selection and a number of reporting methodologies. The Society of Hospital Medicine (SHM) has identified a number of measures that many hospitalists may be able to report, including:
1: Diabetes: Hemoglobin A1c Control
Effective Clinical Care
1, 2, 3, 4, 5, 6
2: Diabetes: LDL-C Control
1, 2, 3, 6
5: Heart Failure: ACE/ARB for LVSD
2, 3, 6
8: Heart Failure: B-blocker for LVSD
2, 3, 4, 6
24: Osteoperosis: Comm. Post-Fracture
Comm., Care Coordination
31: Stroke: VTE Prophylaxis
32: Stroke: DC on Antithrombotic Therapy
33: Stroke: Anticoagulation for AFib
35: Stroke: Screening for Dysphagia
36: Stroke: Rehabilitation Services
The Tax Relief and Health Care Act of 2006 created the Physician Quality Reporting System, with subsequent continuations in the Medicare, Medicaid, and SCHIP Extension Act of 2007, the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 and the Affordable Care Act (ACA) of 2010. MIPPA granted permanency to the program; the ACA extended PQRS incentive payments to 2014 and established penalties for 2015.
SHM has secured a significant discount for SHM members to report PQRS through the PQRSwizard. It is a fast, convenient and cost-effective online tool to help collect and report quality measure data to CMS.
The PQRSwizard is powered by the CECity Registry®, a CMS-qualified registry for PQRS reporting.