PQRS Reporting Deadline is 12/31/2013
Eligible Providers who do not report will see a 1.5% Medicare Part B PFS Penalty in 2015
The Physician Quality Reporting System (PQRS) has been using incentive payments, and will begin to use payment adjustments in 2015, to encourage eligible health care professionals (EPs) to report on specific quality measures.
What is PQRS?
PQRS requires Eligible Providers to assess the quality of care they are providing to patients, helping to ensure that patients get the right care at the right time. By reporting PQRS quality measures, providers quantify how often they are meeting a particular quality metric.
Key Facts on 2013 PQRS Reporting
- PQRS incentives/payment reductions apply to practices/physicians participating in Medicare.
- IMPORTANT: Eligible providers who fail to report PQRS data for 2013 will receive a 1.5% payment reduction in the Medicare PFS amount for services provided in 2015.
- Registration was only required for the GPRO (Group Reporting Option) – closed for 2013.
- There is no registration required for providers sending data individually.
- Providers can either submit the data via Medicare Part B claims submissions or through a qualified PQRS registry (e.g. PrimeDataCloud for PrimeSUITE users).
- PQRS data sent via PrimeDataCloud can be sent starting 1/1/2014 – 2/28/2014.
PrimeDataCloud requires a one time fee to submit per calendar year. The fee for 2013 is $320 per provider.
Key Deadline Date is 12/31/2013
Measurement period ends for 2013 PQRS, EHR Meaningful Use, and e-Rx incentive programs. However, note that eligible professionals can attest to their participation for these programs in early 2014. For instance: Claims-based reporting for PQRS and e-Rx claims, which are processed by the Carrier or A/B MAC, must reach the national Medicare claims system data warehouse by February 28, 2014.
Last day to attest for the 2013 EHR Incentive Program is February 28, 2014.
Registry reporting for PQRS and e-Rx can extend until March 2014 (the cut off date for submission is registry-specific).
CMS PQRS Provider Call Presentation: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/July_25_2013_National_Provider_Call_Presentation.pdf
CMS Helpline: 1-866-288-8912
PQRS Email Questions: email@example.com
Still have questions?
As always, you can contact MDS support and we can provide you with additional assistance. We also recommend that you contact CMS for specific PQRS information.