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Spotlight

NEW! CAHPS® for PQRS survey web site (05-20-2015)

For more information, please visit the CAHPS® for PQRS survey web site at: http://www.pqrscahps.org/

2015 Transition from IACS to EIDM Listserv (05/15/2015)

CMS has distributed a listserv with information for individuals who currently have or will soon need IACS accounts for PQRS participation. The link to this document can be found here:  2015 Transition from IACS to EIDM Listserv

2015 PQRS CMS-Certified Survey Vendor/CAHPS for PQRS Made Simple (05-08-2015)

An updated version of the 2015 PQRS CMS-Certified Survey Vendor/CAHPS for PQRS Made Simple has been posted on the CMS-Certified Survey Vendor and How to Get Started section pages. This is version 1.1 of this document and it replaces the previously posted 1.0 version. The reference to “first quarter 2016” on page 1 was updated to “November 2015-January 2016”.

2015 PQRS Implementation Guide (05-06-2015)

The 2015 PQRS Implementation Guide has been updated. Pages 39 (decision tree, box 13-14) and 43 (accompanying text/numbered list) were updated to remove the incorrect cross-cutting measures requirement listed in GPRO via EHR. Version 1.3 of this guide is posted on the Measures Codes, How to Get Started, and Educational Resources section pages.

2015 Qualified Registries (05-05-2015)

This updated document contains a listing of 2015 Qualified Registries including detailed information of the services each Qualified Registry offers, the cost incurred by their clients, as well as the measures they are supporting in PY 2015. These entities have self-nominated and indicated that they meet the requirements as outlined by CMS in the 2015 Medicare Physician Fee Schedule (MPFS) final rule. Eligible professionals wishing to participate using the Qualified Registry reporting option should review this document posted on the Registry Reporting section page.

How to Report Once for 2015 Medicare Quality Reporting Programs (04-30-2015)

The How to Report Once for 2015 Medicare Quality Reporting Programs document has been revised to remove the incorrect cross-cutting measures requirement statement for group practices via EHR (page 6 visual). This is version 1.2 of the document and it replaces the previously posted version.  To view this document, go to the How to Get Started section page or the Educational Resources section page.  

2015 Registration for PQRS GPRO Web Interface (04-27-2015)

PQRS group practices choosing to take part in PQRS through the GPRO Web Interface must register by June 30, 2015. Registration must be completed online through the Physician Value- Physician Quality Reporting System (PV-PQRS) Registration System. For additional information on GPRO Web Interface registration, please refer to the 2015 PQRS GPRO Requirements document. See the 2015 PQRS GPRO Registration Quick-Reference Guide posted on the GPRO Web Interface section page.

2015 PQRS Registration (04-27-2015)

The Physician Value-Physician Quality Reporting System (PV-PQRS) registration system will be available April 1, 2015 through June 30, 2015 and can be accessed at https://portal.cms.gov. The PV-PQRS registration system allows group practices to register to participate in the PQRS GPRO in 2015 via qualified PQRS registry, Web Interface (for groups with 25 or more eligible professionals [EPs] only) or using an EHR. In order to register, groups must have an approved Individuals Authorized Access to the CMS Computer Services (IACS) account and indicate their reporting mechanism for the 12-month period. The 2015 PQRS data submission window will be in the first quarter of 2016.

See the 2015 PQRS GPRO Registration Quick-Reference Guide posted on the Group Practice Reporting Option section page. If you have questions about how to register or set up an IACS account, please contact the QualityNet Help Desk at 1-866-288-8912 or via email at Qnetsupport@hcqis.org from 7 AM- 7 PM Central Time. Please note that groups must have an approved IACS account to register for one of the PQRS GPRO options. It can take up to 24 hours for a group to receive approval for their IACS account; therefore, groups wishing to register should make sure their IACS accounts are approved as soon as possible.

2013 PQRS eRx Experience Report (04-23-2015)

The following documents pertaining to the 2013 Physician Quality Reporting System (PQRS) and Electronic Prescribing (eRx) Experience Report are available in the 2013 PQRS and eRx Experience Report zip file:

  • 2013 PQRS and Electronic Prescribing (eRx) Experience Report - summarizes the historical reporting experience of eligible professionals in the PQRS and eRx Incentive program through program year 2013 as well as preliminary PQRS data for the 2014 program year.
  • 2013 PQRS and eRx Incentive Program Release Appendix - provides tables and explains data and methods for the report.

To view the 2013 PQRS and eRx Experience Report zip file, go to the Analysis and Payment section page. 

Physician Quality Reporting Programs Strategic Vision (04-23-2015)

The Physician Quality Reporting Programs Strategic Vision (or “Strategic Vision”) describes a long-term vision for CMS quality measurement for physicians and other health care professionals and public reporting programs, and how they can be optimized and aligned to support better decision-making from doctors, consumers, and every part of the health care system.  This Strategic Vision articulates how we will build upon our successful physician quality reporting programs to help achieve the CMS Quality Strategy’s goals and objectives, and therefore contribute to improved healthcare quality across the nation. The Physician Quality Reporting Programs Strategic Vision document is posted in the downloads box on the Quality Initiatives - General Information section page.

How to Become a CAHPS for PQRS Survey Vendor (04-21-2015)

The application period to become a CAHPS for PQRS Survey Vendor has closed.  Survey vendors who will conduct the survey in 2015, currently possess all of the 2015 CAHPS for PQRS Survey Minimum Business Requirements. The next application period to become a CAHPS for PQRS Survey Vendor will be in spring 2016. For more information, please contact the CAHPS for PQRS Technical Assistance Email at pqrscahps@hcqis.org.

2015 Qualified Clinical Data Registries (04-16-2015)

This document contains an initial listing of 2015 Qualified Clinical Data Registries (QCDRs) including detailed information of the services each QCDR offers, the cost incurred by their clients, as well as the measures they are supporting in PY 2015. These entities have self-nominated and indicated that they meet the requirements as outlined by CMS in the 2015 Medicare Physician Fee Schedule (MPFS) final rule. These QCDRs are the first batch who has met the full qualification criteria. An updated version of this list will be posted once qualification processes for all QCDRs are completed. Eligible professionals wishing to participate using the QCDR reporting option should review this document posted on the Qualified Clinical Data Registry section page.  

2014-2016 PQRS Timeline (04-15-2015)

This updated document includes important PQRS dates from 2014-2016, as well as corresponding resources for each PQRS milestone. To view the document, go to the PQRS homepage or the Educational Resources section page.  

2015-2017 PQRS Timeline (04-15-2015)

This updated PQRS timeline document includes 2015-2017 milestone dates and corresponding resources.  To view the document, go to the PQRS homepage or the Educational Resources section page.  

2015 Critical Access Hospitals (CAHs) Billing Under the Optional Payment Method (Method II) (04-13-2015)

CMS has packaged several documents containing information that is relevant to CAHs billing under Method II in relation to PQRS.  CAHs billing under Method II may review these documents by clicking the following link: 2015 CAH-II Reporting PQRS. As new documents are added to this collection, the Spotlight page on the PQRS website will be updated.

MLN Matters® Special Edition Article #SE1508 on Physician Quality Reporting System 2013 Reporting Year and 2015 Payment Adjustment for RHCs, FQHCs, and CAHs Released (04-06-2015)

On March 6, 2015, MLN Matters® Special Edition Article #SE1508, Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs), was released. This article is designed to provide education on the PQRS 2013 reporting year and 2015 payment adjustment for RHCs, FQHCs, and CAHs.

2014 PQRS List of Eligible Professionals (04-06-2015)

This document was updated to remove references to specific facilities being eligible but not able to participate in PQRS. To view the document, go to the Overview section page or the How To Get Started section page.  

How to Become a CAHPS for PQRS Survey Vendor (03-30-2015)

Survey vendors interested in administering the 2015 CAHPS for PQRS Survey must currently possess all of the 2015 CAHPS for PQRS Survey Minimum Business Requirements. To view the document, click here.  

What is Physician Quality Reporting System (PQRS) - Primary Source Verification (PSV) (03-23-2015)

CMS has posted an introductory fact sheet and FAQ document about the Physician Quality Reporting System (PQRS)/Electronic Prescribing (eRx) Incentive Programs - Primary Source Verification (PSV) being conducted by Arch Systems.  Links to these documents can be found here:   

PQRS Measure Validation Process - Primary Source Verification (PSV): Fact Sheet
PQRS Measure Validation Process: Frequently Asked Questions (FAQs)

2015 GPRO Web Interface Support Presentations (03-19-2015)

CMS has posted the presentations for the 2015 GPRO Web Interface Support Calls on the GPRO Web Interface section page:

• 03/06/15 Weekly GPRO Web Interface Q&A Session Presentation
• 03/16/15 Daily GPRO Web Interface Q&A Sessions Presentation
• 03/17/15 Daily GPRO Web Interface Q&A Sessions Presentation

2014 PQRS Group Practice Support Calls (03-19-2015)

In addition to the training presentations, CMS will host support calls for those PQRS group practices who registered to report 2014 PQRS via qualified registry, CMS-Certified Survey Vendor or EHR-based reporting methods. The support calls document has been updated.  To view this document visit the Group Practice Reporting Option section page.  

2015 Registry XML Specifications (03-17-2015)

Qualified Registry Vendors must submit test and production data for the 2015 program year using the Registry XML specification. The 2015 Registry XML Specifications also contain a list of error messages.  To view this document visit the Registry Reporting section page.  

How to Report Once for 2015 Medicare Quality Reporting Programs (03-11-2015)

The Individual Eligible Professionals, Group Practices, and MSSP ACO flows were updated in the How to Report Once for 2015 Medicare Quality Reporting Programs document.  To review this document visit the How To Get Started section page.

2015 GPRO EHR Reporting for Vendors (03-11-2015)

An intermediate-level fact sheet is now available on 2015 GPRO EHR-based reporting for EHR vendors. This includes information about how EHR Direct and Data Submission Vendors should report 2015 PQRS for group practices participating in PQRS GPRO. EHR vendors wishing to participate in the 2015 PQRS and submit data for groups participating in PQRS GPRO should visit the Group Practice Reporting Option section page to view this fact sheet. Group practices participating in 2015 GPRO via EHR reporting will need to work directly with their EHR Direct or Data Submission Vendor.

2015 Guide for Group Practices Using PQRS GPRO Reporting via EHR (03-11-2015)

A beginner-level fact sheet about 2015 GPRO EHR-based reporting for group practices is now available. This was developed to assist group practices participating in GPRO reporting using a direct EHR product or Data Submission Vendors. Group practices participating in GPRO through EHR reporting should  visit the Group Practice Reporting Option section page to view this fact sheet.  

Updated! 2015 PQRS EHR Reporting Made Simple (02-27-2015)

CMS has updated the 2015 PQRS EHR Reporting Made Simple document. This is a beginner-level document that outlines EHR-based reporting for 2015 PQRS. It applies to individual EPs who wish to report via EHR and group practices that registered for EHR-based reporting via the Group Practice Reporting Option (GPRO).To view this document visit the Electronic Health Record Reporting section page. 

2015 GPRO Web Interface Support Presentations (02-27-2015)

CMS has posted the presentations for the 2015 GPRO Web Interface Support Calls on the GPRO Web Interface section page:

• 02/26/15 GPRO Web Interface Q&A Sessions Presentation

MLN Connects™ National Provider Calls (02-26-2015)

The registration is now open for the Physician Quality Reporting Programs:  Reporting Once in 2015 National Provider Call.  To register for this call, visit the CMS Sponsored Calls section page. 

2015 How to Report Once (02-26-2015) 

CMS has posted the 2015 How to Report Once document for 2015 Medicare Quality Reporting Programs.  To view this document visit the How to Get Started or the Educational Resources section page. 

2015 GPRO Web Interface Support Presentations (02-20-2015)

CMS has posted the presentations for the 2015 GPRO Web Interface Support Calls on the GPRO Web Interface section page:

• 02/19/15 GPRO Web Interface Q&A Sessions Presentation

2015 GPRO Web Interface Support Presentations (02-11-2015)

CMS has posted the presentations for the 2015 GPRO Web Interface Support Calls on the GPRO Web Interface section page:

• 01/29/15 GPRO Web Interface Q&A Sessions Presentation
• 01/30/15 GPRO Web Interface Q&A Sessions Presentation

Updated! 2015 PQRS Implementation Guide (02-11-2015)

CMS has updated the 2015 PQRS Implementation Guide.This guide helps eligible professionals (EPs) and group practices participating in PQRS via the group practice reporting option (GPRO) understand and report for 2015 PQRS. To view this document visit the Measures Codes section page. 

Update! 2015 PQRS List of Face-to-Face Encounter Codes List  (02-11-2015)

CMS has updated the List of  Face-to-Face Encounter Codes for the billable codes that identify face-to-face encounters for the purposes of 2015 PQRS reporting.  To view this document visit the Measures Codes section page.   

2015 PQRS List of Eligible Professionals (02-11-2015)

CMS has posted a 2015 PQRS List of Eligible Professionals to determine whether or not you are eligible to participate in 2015 PQRS. To view visit the How To Get Started or the Educational Resources section pages.

2013 PQRS Quality-Data Code (QDC) Error Report by Individual Measure and by Specialty (02-10-2015)

CMS posted the 2013 PQRS Quality-Data Code (QDC) Error Report by Individual Measure and 2013 PQRS Quality-Data Code (QDC) Error Report by Provider Specialty.  These reports includes claims data for services provided from January 1, 2013 through December 30, 2013, and processed by December 30, 2013.   To view visit the Analysis and Payment section page.

Understanding the 2015 Medicare Payment Adjustments (02-10-2015)

CMS has posted an Understanding the 2015 Medicare Payment Adjustments guide.  This guide provides a general overview of the 2015 payment adjustments for the Centers for Medicare & Medicaid Services (CMS) Medicare quality reporting. To view visit the Payment Adjustment Information section page.

2015 GPRO Web Interface Support Presentations (02-09-2015)

CMS has posted the presentations for the 2015 GPRO Web Interface Support Calls on the GPRO Web Interface section page:

• 02/05/15 GPRO Web Interface Q&A Sessions Presentation

2015 Measure-Applicability Validation (MAV) Training Course (02-04-2015)

The 2015 Measure-Applicability Validation (MAV) Training Course for eligible professionals (EPs) reporting measures via claims or an EP or group practice reporting measures via a registry vendor has been posted to the Analysis and Payment page.

2015 PQRS Payment Adjustment and Providers who Rendered Services at RHCs/FQHCs (01-29-2015)

CMS has distributed a listserv and posted an Frequently Asked Question (FAQ) with information for providers who rendered services at a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) in 2013 and are subject to the 2015 PQRS payment adjustment. Links to these documents can be found here:  

Listserv 2015 PQRS Payment Adjustment and Providers who Rendered Services at RHCs/FQHCs

FAQ 2015 PQRS Payment Adjustment and Providers who Rendered Services at RHCs/FQHCs