Skip to Main Content

Spotlight

CMS to Begin Accepting Suggestions for Potential Physician Quality Reporting System Measures and/or Measures Groups in May 2014 (04-21-2014)

In May, the Centers for Medicare & Medicaid Services (CMS) will begin accepting quality measure suggestions for potential inclusion in the proposed set of quality measures in the Physician Quality Reporting System for future rule-making years. Quality measures submitted in this Call for Measures also will be considered for use in other quality programs for physicians and other eligible professionals (e.g. Value Based Modifier, Physician Compare, Medicare Shared Savings Program, etc.).

Beginning this year, the Call for Measures will be conducted in an ongoing open format. Starting May 1, 2014, CMS will open its Call for Measures. Unlike previous years, where the annual Call for Measures closed after a specified period of time, the Call for Measures will remain open indefinitely. The month that a measure is submitted to CMS will determine which program year it may be included in the PQRS measure set.

Each measure submitted for consideration must include all required supporting documentation. Measure submissions that name a measure steward other than the organization submitting the potential measure must include documentation that the measure steward has agreed to maintain the measure if it is accepted. Submissions missing documentation of the steward's commitment to maintain a proposed measure will be automatically eliminated from the measure review process.

Documentation requirements and the schedule of cut-off dates for the yearly Measures Under Consideration (MUC) list inclusion will be posted on the Measures Management System Call for Measures web page. Only those measures submitted in the provided format will be accepted for consideration.

When submitting measures for consideration, please ensure that your submission is not duplicative of another existing or proposed measure. Submitted measures must be further along in development than a measure concept. Additionally, CMS is not accepting claims-based only reporting measures in this process. CMS is seeking a quality set of measures that are outcome-based rather than clinical process measures. Other measure types that CMS is interested in include measures of patient safety and adverse events, appropriate use of diagnostics and therapeutics, care coordination and communication, patient experience and patient-reported outcomes and measures of cost and resource use.

Measures submitted for consideration will be assessed to ensure that they meet the needs of the Physician Quality Reporting System. As time permits, feedback will be provided to measure submitters upon review of their submission.

Note: Suggesting individual measures or measures for a new or existing measures group does not guarantee the measure(s) will be included in the proposed or final sets of measures of any Proposed or Final Rules that address the Physician Quality Reporting System. CMS will determine which individual measures and measures group(s) to include in the proposed set of quality measures, and after a period of public comment, the agency will make the final determination with regard to the final set of quality measures for the Physician Quality Reporting System.

2014 Interim Feedback Dashboard User Guide 04-21-2014

CMS has posted a 2014 Interim Feedback Dashboard User Guide. Click on the following link to visit the Analysis and Payment section page to view this document. 

Updated! 2014 PQRS GPRO Requirements  (04-21-2014)

CMS has updated and reposted the 2014 PQRS GPRO Requirements document. Click on the following link to visit the Group Practice Reporting Option section page to view this document. 

2013 PQRS Incentive Payment User Guide (04-15-2014)

CMS has posted a guide for understanding the 2013 PQRS Incentive Payment.  Click on the following link to visit the Analysis and Payment section page to view this document.

2014 Qualified Maintenance of Certification Program Incentive Entities (04-14-2014)

CMS has posted a document with a list of entities that have become qualified for purposes of the 2014 Physician Quality Reporting System Maintenance of Certification Program Incentive.  Click of the following link to view this list posted on the Maintenance of Certification Program Incentive section page.

2013 PQRS Feedback Report User Guide  (04-14-2014) 

CMS has posted a quick reference guide for understanding the 2013 PQRS Feedback Report. The PQRS Feedback Report User Guide is designed to assist eligible professionals (EPs) and their authorized users with accessing and interpreting the 2013 PQRS feedback reports. To view this document visit the following section page: Analysis and Payment.

Update! 2014 Individual Measure Specifications, Release Notes and Single Source (04-04-2014) 

The 2014 Individual Measure Specifications, Release Notes and Single Source document was updated based on some coding discrepancies found between documents. This updated file will replace the previous file posted on the Measures Codes and How to Get Started section pages.

Update! How to Get Started Page (04-03-2014) 

CMS has updated language under Step 4 of the Measure Groups heading on the How To Get Started section page noting that 2014 PQRS measures groups are reportable only via registry. To view this document visit the following section page: How To Get Started.

New! 2012 PQRS eRx Experience Report (04-03-2014)

CMS has posted the 2012 Physician Quality Reporting System (PQRS) and Electronic Prescribing (eRx) Experience Report, summarizing the reporting experience of eligible professionals in these programs in 2012. To view this report, visit the Analysis and Payment section page.  A data brief highlighting participation in these programs in 2012 is also available.

Update! 2014 PQRS EHR Made Simple (04-01-2014) 

CMS has updated and reposted the 2014 Physician Quality Reporting System (PQRS): Electronic Health Record (EHR) Reporting Made Simple changing the reporting date back to February 28, 2015 and updated the qnetsupport email to address.  To view this document visit the following section page: Electronic Health Record Reporting.