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Educational Resources

The educational resources listed on this web page are designed to increase national awareness of the Physician Quality Reporting System (PQRS). Eligible professionals are encouraged to contact their professional organizations for additional information and tools that will facilitate participation in the PQRS.

2014 PQRS Resources

The following educational products are available to assist eligible professionals with 2013 PQRS participation.     

Getting Started

Welcome to PQRS— YouTube video provides an overview of PQRS.

PQRS Overview Fact Sheet— Provides an overview of the CMS PQRS program, including information about payments, reporting, and additional resources.

PQRS Timeline 2014-2016—Includes important PQRS dates from 2014-2016, as well as corresponding resources for each PQRS milestone.

PQRS: What’s New for 2014—This fact sheet includes important information about changes to the Physician Quality Reporting System (PQRS) for 2014.

Reporting

How to Report Once for 2014 Medicare Quality Reporting Programs - This document serves as a guide to individual eligible professionals wishing to report quality measures one time during the 2014 program year in order to become incentive eligible for the 2014 Physician Quality Reporting System (PQRS), avoid the 2016 PQRS payment adjustment, and satisfy the clinical quality measure (CQM) component of the Electronic Health Record (EHR) Incentive Program.

Interactive How to Report Once for 2014 Medicare Quality Reporting Programs Tool - This interactive tool helps eligible professionals (both individual eligible professionals and group practices) determine how to report quality measures one time during the 2014 program year for multiple Medicare quality reporting programs. After answering a few questions about their 2014 PQRS reporting method, eligible professionals will be shown how to successfully report their quality data once to receive credit for multiple Medicare quality programs, including PQRS, the Medicare EHR Incentive Program, Accountable Care Organizations, and the Value-Based Payment Modifier.

2014 PQRS: Claims Reporting Made Simple— Describes claims-based reporting and outlines steps that eligible professionals or practices should take prior to participating. It also provides helpful reporting tips for eligible professionals and their billing staff.

2014 PQRS Registry Reporting Made Simple — Describes registry-based reporting and outlines steps that eligible professionals or group practices participating in GPRO should take in selecting a registry to work with for the 2014 PQRS program year.

2014 PQRS EHR Reporting Made Simple — Describes EHR-based reporting and outlines steps that eligible professionals should take in selecting an EHR to work with for the 2014 program year.

2014 PQRS: Maintenance of Certification (MOC) Program Incentive Made Simple — Provides steps for successful participation in the MOC Program Incentive. It also explains the role of the qualified Maintenance of Certification Program Incentive entity.

2014 Web Interface Reporting Made Simple — Serves as a guide for group practices that have registered to take part in 2014 PQRS using the GPRO Web Interface.

2014 PQRS GPRO Requirements — Provides requirements and criteria for group practices reporting option under 2014 PQRS.

2014 Qualified Clinical Data Registry Made Simple — Describes Qualified Clinical Data Registry (QCDR) participation and outlines steps that individual eligible professionals should take in selecting a QCDR to work with for the 2014 PQRS program year.

2014 CMS-certified Survey Vendor Made Simple — Provides requirements and criteria for group practices using CG CAHPS summary survey modules for 2014 PQRS participation.

2014 PQRS Claims-Based Coding and Reporting Principles — Describes claims-based coding and reporting and outlines steps that EPs or practices should take prior to participating in 2014 PQRS. The following educational products are available to assist EPs with 2013 PQRS reporting.  

Analysis & Reports

2014 PQRS Claims Measure Applicability Validation— Zip file includes guidance for those eligible professionals who satisfactorily submit quality-data codes for fewer than nine PQRS measures or for fewer than three NQS domains using claims-based reporting, and how the MAV process will determine whether they should have submitted QDCs for additional measures. Zip file includes release notes and a chart depicting the process.

2014 PQRS Registry Measure Applicability Validation— Zip file includes guidance for those eligible professionals who satisfactorily submit quality-data codes for fewer than nine PQRS measures or for fewer than three NQS domains using registry-based reporting, and how the MAV process will determine whether they should have submitted QDCs for additional measures. Zip file includes release notes and a chart depicting the process.

2013 PQRS and eRx Incentive Program: Steps for IACS Defined “Individual Practitioners” to Access their PQRS and eRx Incentive Program Feedback Reports— Provides steps for  individual eligible professionals (or “individual practitioner” for purposes of accessing feedback reports) who reported PQRS or eRx Incentive Program quality measures data to Medicare and wish to access their feedback reports.

2013 PQRS and eRx Incentive Program: Steps for IACS Defined “Organizations” to Access Their PQRS and eRx Incentive Program Feedback Reports— Provides steps for “organizations” as defined by Individuals Authorized Access to CMS Computer Services (IACs) who wish to access their feedback reports. Organizations are defined as group practices that are corporations or limited liability companies or practices paid by Medicare Part B under a Taxpayer Identification Number /Employer Identification Number (TIN/EIN), in which at least one eligible professional successfully reported at least one valid quality-data code (QDC) under PQRS or the eRx Incentive Program.

2013 PQRS and eRx Incentive Program Process for Individual Eligible Professionals (EPs) to Access National Provider Identifier (NPI)-Level PQRS and eRx Incentive Program Feedback Reports— Provides a step by step process for Individual EPs to Access NPI-Level PQRS and eRx Incentive Program Feedback Reports.

Tips for Using the Quality Reporting Communication Support Page— Provides tips for entering an eRx Hardship Exemption Request to avoid the 2014 eRx Payment Adjustment, a PQRS/eRx Feedback Report Request, a PQRS Informal Review Request and a Self-Nomination Request.  Please note self-nomination only applies to certain entities, including MOC Boards, Registries, EHR vendors and group practices wishing to participate in the GPRO.

2012 PQRS: Informal Review Made Simple— Provides a step by step process for individual EPs and group practices who submitted data for PQRS in 2012 to request an informal review of their 2012 PQRS performance with CMS.