The Physician Quality Reporting System (PQRS) provides financial incentives to eligible professionals who satisfactorily report data on quality measures for covered professional services furnished to Medicare beneficiaries. Incentives are available through 2014. Beginning in 2015, eligible professionals that do not satisfactorily report PQRS will be subject to payment adjustments. Performance on PQRS measures will be publicly reported on the Physician Compare website beginning in 2013.
CMS has hired Quality Improvement Organizations (QIOs) to provide free assistance to eligible professionals in reporting PQRS. As the federally designated QIO for Missouri, Primaris has helped hundreds of providers measure and improve care, using their EHR as an essential tool in the process. CMS is aligning quality measures for many initiatives, including PQRS, Patient-Centered Medical Homes, the EHR Incentive program (i.e., Meaningful Use), Accountable Care Organizations, and others. While still in development, the same electronic mechanism is expected to eventually be used to transmit all quality measures directly to CMS.
This website provides essential information for successfully reporting PQRS. For more information on the PQRS program, visit the CMS website.
This website was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents have been provided within the document for your reference.
This website was prepared as a tool to assist providers and is not intended to grant rights or impose obligations. Although every reasonable effort has been made to assure the accuracy of the information within these pages, the ultimate responsibility for the correct submission of claims and response to any remittance advice lies with the provider of services. Primaris, fhe Centers for Medicare & Medicaid Services (CMS) employees, agents, and staff make no representation, warranty, or guarantee that this compilation of Medicare information is error-free and will bear no responsibility or liability for the results or consequences of the use of this guide. This publication is a general summary that explains certain aspects of the Medicare Program, but is not a legal document. The official Medicare Program provisions are contained in the relevant laws, regulations, and rulings.
CPT only copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS\DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
The Physician Quality Reporting System - Overview
