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.
2013 PQRS Resources
The following educational products are available to assist eligible professionals with 2013 PQRS participation.
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 Resources Fact Sheet—Provides a list of helpful materials for eligible professionals and group practices participating in PQRS. The resources are organized by PQRS topic area, including how to get started, measure selection, reporting methods, payment information, and feedback and experience reports.
PQRS: Updates for 2013— Includes important information about changes to the PQRS for 2013.
2013 PQRS Decision Tree for Incentive Payment— Helps EPs determine which reporting method to use for 2013 PQRS incentive payment participation.
2013 PQRS: 2015 PQRS Payment Adjustment— Provides information on the 2015 PQRS payment adjustment and guidance on how individual eligible professionals and group practices can avoid the 2015 PQRS payment adjustment. Information provided in this tip sheet is based on the 2013 Medicare PFS Final Rule.
2013 PQRS CMS-1500 Claim Example— Provides a detailed example of an Individual NPI reporting on a single CMS-1500 claim for 2013 PQRS.
2013 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 2013 PQRS program year.
2013 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 2013 program year.
2013 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.
2013 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.
2013 PQRS: Made Simple for Reporting the Preventive Care Measures Group Via Claims— Provides guidance on satisfactorily reporting the Preventive Care Measures Group via claims for 2013 PQRS. Complete information regarding reporting the Preventive Care Measures Group is available in the 2013 PQRS Measures Groups Specification Manual available on the CMS PQRS website.
2013 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 2013 PQRS. The following educational products are available to assist EPs with 2012 PQRS reporting.
Analysis & Reports
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.
2013 Quality Resources
2013 Quality Reporting Programs Matrix— Provides summaries of three quality reporting programs— the Value Modifier, PQRS, and the Electronic Prescribing (eRx) Incentive Program— that affect payments to physicians and other eligible professionals.
2013 PQRS Medicare EHR Incentive Pilot Participation Guide— Walks providers through the participation process for the 2013 PQRS-Medicare EHR Incentive Pilot program is now live on the eHealth website.
2013 PQRS and eRx Incentive Pilot: Quick Reference Guide — Provides direction to eligible professionals participating in the Medicare EHR Incentive Program on reporting and satisfying the CQM requirements through participation in the PQRS-Medicare EHR Incentive Pilot.
- Physician Quality Reporting System FAQ - Opens in a new window
- Physician Listserv - Opens in a new window
- Physicians, Nurses and Allied Health Professionals Open Door Forum
- Welcome to PQRS Video - Opens in a new window
- Quality Net Portal - Opens in a new window
- eHealth_Eligibility_Chart_090513 FINAL [PDF, 318KB]
- eHealth Timeline 09 12 13 FINAL [PDF, 1MB]
- CMS eHealth Payment Adjustment Tool 2013 09 12 FINAL [PDF, 460KB]
- Page last Modified: 12/06/2013 9:34 AM
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