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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

2015 GPRO Web Interface Support Presentations (01-29-2015)

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

• 01/26/15 and 01/27/15 Daily GPRO Web Interface Q&A Sessions
• 01/15/15 GPRO Web Interface Q&A Session

2014 GPRO Web Interface Quality Reporting Questions & Answers Document (01-29-2015)

The 2014 GPRO Web Interface Quality Reporting Q&A document provides answers for commonly asked questions about measures reported through the GPRO Web Interface, sampling and assignment for the measures, and use of the GPRO Web Interface (system features). To view visit the GPRO Web Interface section page.

2015 PQRS Implementation Guide (01-17-2015)

CMS has posted 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. 

2015 PQRS CMS-Certified Survey Vendor Made Simple  (01-16-2015)

CMS has posted the 2015 PQRS CMS-Certified Survey Vendor Made Simple document. The 2015 CMS-certified Survey Vendor Made Simple document outlines the necessary criteria for using the CAHPS for PQRS survey. To view this document visit the CMS-Certified Survey Vendor section page. 

2015 MAV Process Documents for Claims  (01-16-2015)

CMS has posted the 2015 MAV Process Documents for Claims. These documents provides guidance for those eligible professionals who satisfactorily submit quality-data codes for fewer than nine PQRS measures or for fewer than three NQS domains, and how the MAV process will determine whether they should have submitted QDCs for additional measures. To view this document visit the Analysis And Payment section page. 

2015 MAV Process Registry-based Reporting (01-16-2015)

CMS has posted the 2015 MAV Process Registry-based Reporting document. This document provides guidance for those eligible professionals who satisfactorily submit via a Qualified Registry for fewer than nine PQRS measures or for fewer than three NQS domains, and how the MAV process will determine whether they should have submitted additional measures. To view this document visit the Analysis And Payment section page.

2015 PQRS Qualified Clinical Data Registry Participation Made Simple (01-16-2015)

CMS has posted the 2015 PQRS Qualified Clinical Data Registry (QCDR) Participation Made Simple document. This document describes QCDR reporting and outlines the steps that an individual EP should take in selecting a QCDR to work with for the 2015 PQRS program year. To view this document visit the Qualified Clinical Data Registry Reporting section page.

2015 PQRS Claims-based Coding and Reporting Principles (01-16-2015)

CMS has posted the 2015 PQRS Claims-based Coding and Reporting Principles document. 2015 PQRS Claims-Based Coding and Reporting Principles is a beginner-level resource that describes claims-based coding and reporting, and outlines steps that EPs should take prior to participating in 2015 PQRS. To view this document visit the Educational Resources section page.

2015 PQRS EHR Reporting Made Simple (01-16-2015)

CMS has posted the 2015 PQRS EHR Reporting Made Simple document. This document is a beginner-level document that outlines EHR-based reporting for 2015 PQRS. To view this document visit the Electronic Health Record Reporting section page.

2015 PQRS GPRO Web Interface Reporting Made Simple (01-16-2015)

CMS has posted the 2015 PQRS GPRO Web Interface Reporting Made Simple document. This document applies to group practices that have registered to take part in 2015 PQRS using the GPRO Web Interface. To view this document visit the GPRO Web Interface section page.

2015 PQRS Registry Reporting Made Simple (01-16-2015)

CMS has posted the 2015 PQRS Registry Reporting Made Simple document. This beginner-level document outlines the steps necessary in selecting a qualified registry for 2015 PQRS reporting.  To view this document visit the Registry Reporting section page.Registry Reporting

2015 Claims Reporting Made Simple (01-15-2015)

CMS has posted the 2015 Claims-based Reporting Made Simple document. This is a beginner-level resource that describes claims-based reporting and outlines steps that eligible professionals should take prior to participating in 2015 PQRS.  To view this document visit the Educational Resources section page.  

2015 PQRS Group Practice Reporting Option Criteria (01-15-2015)

CMS has posted the 2015 PQRS Group Practice Reporting Option (GPRO) Criteria document. This document outlines the criteria for participating in 2015 PQRS through the GPRO. To view this document visit the Group Practice Reporting Option section page.

2015 Qualified Clinical Data Registry Submission Criteria (01-15-2015)

CMS has posted the 2015 PQRS: Qualified Clinical Data Registry (QCDR) Data Submission Criteria document.  This document contains detailed information regarding the self-nomination requirements and qualification requirements for entities that are interested in becoming a QCDR.  To view this document visit the Qualified Clinical Data Registry Reporting.  

Group Practice Reporting Option Web Interface Support Call Announcements (01-14-2015)

CMS has posted the 01-15-2015 GPRO Web Interface Support Call Announcements under the 2014 PQRS Group Practice Support Calls. To view this presentation visit then GPRO Web Interface section page.   

2014 Group Practice Reporting Option Electronic Health Record Q&A Session (01-14-2015)

CMS has posted the 01-13-2015, 2014 Group Practice Reporting Option (GPRO) Electronic Health Record Q&A session presentation under the 2014 PQRS Group Practice Support Calls section.  To view this presentation visit the Group Practice Reporting Option section page. 

Qualified Registry Reporting Q&A Session (01-13-2015)

CMS has posted the 01-14-2015 Qualified Registry Reporting Q&A session presentation under the 2014 PQRS Group Practice Support Calls section.  To view this presentation visit the Group Practice Reporting Option page. 

2015 PQRS Individual Measures for Claims/Registry and Measures Groups Flow Documents (01-12-2015)

2015 PQRS Individual Measure Flow and Measure Group Flow documents are available as additional resources to assist in better understanding the reporting and performance algorithms for measures and measures groups.  To view these documents visit the Measure Codes section page.

2015 Registry Vendor Criteria (01-09-2015)

CMS has posted the a 2015 Registry Vendors Criteria document, which includes information regarding the self-nomination process. To view this document visit the Registry Reporting section page.

2013 PQRS: Incentive Eligibility and New 2015 Negative Payment Adjustment – Informal Review Made Simple (01-08-2015)

This fact sheet has been updated and reposted to the Analysis and Payment section page.  To view this fact sheet visit the Analysis and Payment section page.

2014 GPRO Web Interface Support Calls flyer (01-08-2015)

The link for the 2014 GPRO Web Interface Support Calls flyer previously posted on GPRO Web Interface section page has been temporarily deactivated for updates and will be reposted soon.  

How Do I Avoid the 2016 Medicare Quality Reporting Payment Adjustments (01-07-2015)

CMS has posted a How Do I Avoid the 2016 Medicare Quality Reporting Payment Adjustments document on the Anaylsis and Payment section page. This guide provides a general overview of the 2016 payment adjustments for the following Medicare quality reporting programs: Physician Quality Reporting System (PQRS), Medicare Electronic Health Record (EHR) Incentive Program, and Value-Based Payment Modifier (VM). To view this document visit the Analysis and Payment section page. 

Updated! 2015 PQRS List of Face-To-Face Encounter Codes (12/31/2014)

CMS posted a list of 2015 PQRS Face-To-Fast Encounter Codes on the Measures Codes  section page.  Please note that an updated Face-to-Face Encounter Codes list is forthcoming.  All stakeholders should be cognizant of the most up-to-date list and reference it for reporting purposes.

2015 GPRO Web Interface Documents (12/24/2014)

CMS has posted the 2015 GPRO Web Interface Documents which contains all of the 2015 GPRO WI Narrative Specifications and Release Notes, 2015 GPRO WI Measures List, 2015 GPRO WI Supporting Documents with Release Notes, and 2015 GPRO WI Flows. 

Measure Documents (12/24/2014)

The following documents have been posted on the Measures Codes section page. 

2015 Cross-Cutting Measures List
2015 PQRS List of Face-To-Face Encounter Codes  
2015 PQRS Measures List (Updated)
2015 PQRS Individual Claims Registry Measure Specification Supporting Documents (Updated)
2015 PQRS Measures Groups Specifications Supporting Documents (Updated)

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