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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 Started
     4 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.   Claims
2.   Registry
3.   Data submission vendor (DSV)
4.   EHR Direct
5.   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.com
  for more information.
4 Steps to Getting Started with PQRS

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4 Steps to Getting Started with PQRS

  • 1. 4 Steps to Getting Started with PQRS Reporting
  • 3. 1. Earn incentives • 2013: 0.5% • 2014: 0.5% 2. Avoid penalties • 2015: 1.5% • 2016 and subsequent years: 2.0%
  • 4. 3. Get double credit • Can use PQRS reporting to satisfy Meaningful Use CQM requirement
  • 5. 4. Position for value- based reimbursement • Reporting of PQRS measures will determine application of CMS’ value- based payment modifier
  • 6. How to Get Started 4 steps
  • 7. Step 1: Determine your eligibility.
  • 8. Professionals are eligible for PQRS if they provide services paid under/based upon the Medicare Physician Fee Schedule.
  • 9. No signup or pre- registration is required.
  • 10. Step 2: Choose a PQRS reporting method.
  • 11. There are five methods: 1. Claims 2. Registry 3. Data submission vendor (DSV) 4. EHR Direct 5. Group practice reporting option (GPRO)
  • 12. So how do you choose which method is right for you?
  • 13. Factors to consider: • Cost • Your EHR • Risk • Complexity • Meaningful Use participation • Positioning for the future
  • 14. Cost: • Some PQRS submission methods involve costs: • Registry-based • DSV • Other methods do not: • EHR direct
  • 15. 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.
  • 16. 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.
  • 17. Complexity • Some options are more complex than others • Most complex: • Claims-based • Group reporting option
  • 18. Meaningful Use Participation • CMS has aligned PQRS and Medicare EHR Incentive Program: • PQRS Medicare EHR Incentive Pilot
  • 19. Step 3: Select PQRS measures to report.
  • 20. Available measures will depend on the reporting method you choose. See www.cms.gov/pqrs for more information.
  • 21. Step 4: Report your selected measures via your selected method.
  • 22. The reporting period and process for reporting measures also depend on your chosen reporting method.
  • 23. Want to learn more about PQRS? Watch a free recorded webinar at successehs.com/archived- webinars.
  • 24. 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.
  • 25. Visit www.successehs.com for more information.