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Eligible professionals do not have to enroll or file an intent to participate in the Physician Quality Reporting System. Professionals who choose to participate by reporting quality measures data through claims can simply report the appropriate quality-data codes on service lines of Medicare Part B Physician Fee Schedule (PFS) professional-services claims. Beginning with the 2008 Physician Quality Reporting System program year, eligible professionals may also qualify to earn a Physician Quality Reporting System incentive by reporting quality measures data to a qualified registry. Professionals participating in a registry that self-nominates and qualifies to submit data on behalf of eligible professionals for a particular program year should expect to receive more information from the registry on how to participate. In addition to the claims-based reporting mechanism and the registry-based reporting mechanism, an eligible professional may also be able to earn a Physician Quality Reporting System incentive payment through the EHR-based reporting mechanism. Eligible professionals participating in the Physician Quality Reporting System utilizing a qualified EHR product should contact their qualified EHR vendor for additional details on submission. 2012 Physician Quality Reporting System 2012 Phase 1 EHR Direct Qualified Posting CMS is pleased to announce EHR Direct vendors and their system and products (including specific version or release) that have been "qualified" to submit quality data to CMS by eligible professionals for the 2012 Physician Quality Reporting System program year. Each of these EHR Direct vendors has completed a thorough vetting process to verify that their system and product(s) has the capability to provide the required data elements for the 51 Physician Quality Reporting System EHR measures. Some EHR Direct vendors are also capable of reporting the electronic prescribing (eRx) measure to CMS.The 2012 PFS Final Rule has extended the vetting period for additional EHR Direct Vendors to become qualified for the 2012 program year. An updated Qualified Posting will be posted once testing on these new entities has been completed. See the table and more information in the document titled "2012 Phase 1 EHR Direct Qualified Posting" in the "Downloads" section below. 2012 Phase 1 Registry Qualified Posting CMS is pleased to announce the registries that have successfully "qualified" to submit quality data to CMS on behalf of their eligible professionals for 2012 PQRS reporting. Each of these registries have completed the first phase of the vetting process including checking their capability to provide the required PQRS data elements, reviewing a measure flow and algorithms, performance use case calculations (this checks to see whether the registry calculates the measure's reporting and performance rates correctly). Some registries are also capable of reporting the electronic prescribing measure to CMS. See the table and more information in the document titled "2012 Qualified Registries" in the "Downloads" section below. 2012 Physician Quality Reporting System Medicare Electronic Health Record (EHR) Incentive Pilot: Quick Reference Guide. This 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 Physician Quality Reporting System-Medicare EHR Incentive Pilot. More information is available in the "Downloads" section below. 2012 EHR Direct Vendor Qualification Requirements for the 2012 Physician Quality Reporting Program Year The self-nomination and vetting process for EHR vendors for 2012 Physician Quality Reporting has been updated. This document describes the requirements for self-nomination including important deadlines for qualification. More information is available in the "Downloads" section below. 2012 EHR Data Submission Vendor Qualification Requirements for the 2012 Physician Quality Reporting Program Year The self-nomination and vetting process for EHR Data Submission vendors for 2012 Physician Quality Reporting will occur in 2012. This document describes the requirements for self-nomination including important deadlines for qualification. More information is available in the "Downloads" section below. 2012 Registry Submission Requirements The self-nomination and vetting process for Registries for 2012 Physician Quality Reporting will occur in 2012. This document describes the requirements for self-nomination including important deadlines for qualification. More information is available in the "Downloads" section below. Final Documents for 2012 EHR-Based Reporting CMS will again accept Physician Quality Reporting System quality measures data extracted from a qualified EHR product for a limited subset of proposed 2012 Physician Quality Reporting System quality measures. As stated in the 2012 PFS final rule, 51 measures are available for EHR-based reporting in 2012. The following documents for the electronic submission of these 51 measures by eligible professionals using a "qualified" EHR is available in two ZIP files in the "Downloads" section below: • 2012 EHR Documents for Eligible Professionals ZIP file containing: - 2012 Physician Quality Reporting System EHR Measure Specifications - The detailed description of data element names and codes related to each of 51 2012 Physician Quality Reporting System quality measures available for electronic submission. - 2012 Physician Quality Reporting System EHR Measure Specifications – Release Notes – The corresponding release notes for the 2012 EHR Measure Specifications. - 2012 EHR Downloadable Resource Table - 2012 EHR Downloadable Resource Table - Release Notes • 2012 EHR Documents for Vendors ZIP file containing: - Data Submission Specifications Utilizing HL7 QRDA Implementation Guide Based on HL7 CDA Release 3.0 - Updated EHR Data Submission Specifications Utilizing QRDA – Release Notes – Release notes for Data Submission Specifications Utilizing HL7 Quality Reporting Document Architecture Based on HL7 CDA Release 2.0 - 2012 EHR Downloadable Resource Tables - (2012 EHR Downloadable Resource Table and 2012 EHR Downloadable Resource Table – Other Resource Codes) - 2012 EHR Downloadable Resource Table - Release Notes - 2012 EHR Data Submission Specifications Utilizing QRDA Header Errors and Edits - 2012 EHR Data Submission Specifications Utilizing QRDA Body Errors and Edits EHR Vendor Qualification Requirements for the 2012 Physician Quality Reporting Program Year The self-nomination and vetting process for EHR vendors for 2012 Physician Quality Reporting will occur in 2011. This document describes the requirements for self-nomination including important deadlines for qualification. More information is available in the "Downloads" section below. 2012 Physician Quality Reporting Decision Tree. This document contains a decision tree flow chart for 2012 reporting options. This document is available in the "Downloads" section below. 2011 Physician Quality Reporting System As described in the 2011 Medicare PFS final rule, CMS retains the claims-based, registry-based reporting and EHR-based reporting mechanisms. 2011 Qualified Registries CMS is pleased to announce the registries that have become "qualified" to submit quality data to CMS on behalf of their eligible professionals for 2011 PQRS reporting. Each of these registries have gone through a thorough vetting process including checking their capability to provide the required PQRS data elements, reviewing a measure flow and algorithms, performance use case calculations (this checks to see whether the registry calculates the measure's reporting and performance rates correctly), and transmitting the required information in the requested file format (XML). Some registries are also capable of reporting the electronic prescribing measure to CMS. See the table and more information in the document titled "2011 Qualified Registries" in the "Downloads" section below. 2011 Registry Submission Requirements The document "2011 Registry Submission Requirements" may be found in the "Downloads" section below. This document describes the high-level requirements for a registry to qualify to submit under the registry-based reporting alternatives for the 2011 Physician Quality Reporting System. This document also outlines how a registry can become qualified for 2011 data submission. Additionally, the document "2011 Physician Quality Reporting System Registry XML Specifications and System Edit Messages" can be found under the "Downloads" section below. This document provides the data submission specifications for registry-based reporting as well as the edit messages for registry-based submissions. Registry Requirements for Submission of 2011 Physician Quality Reporting System Data on Behalf of Eligible Professionals CMS will, in February and March 2012, accept quality measure results and numerator and denominator data for 2011 Physician Quality Reporting measures submitted by qualified registries on behalf of their participants. Qualified Electronic Health Record (EHR) Vendors for the Physician Quality Reporting System and Electronic Prescribing (eRx) Incentive Program A list of EHR vendors that have been qualified to submit quality data to CMS by eligible professionals for the 2011 Physician Quality Reporting System program year has been updated on October 4, 2011 and is now available in the "Downloads" section below by clicking on the link titled "2011 EHR Qualified Vendors for Physician Quality Reporting and eRx Incentive Program". Final Documents for 2011 EHR-Based Reporting CMS will again accept Physician Quality Reporting System quality measures data extracted from a qualified EHR product for a limited subset of proposed 2011 Physician Quality Reporting System quality measures. In the 2011 PFS final rule, CMS stated that 20 measures are available for EHR-based reporting in 2011. The following documents for the electronic submission of these 20 measures by eligible professionals using a "qualified" EHR is available in two ZIP files in the "Downloads" section below: • 2011 EHR Documents for Eligible Professionals ZIP file containing: - 2011 Physician Quality Reporting System EHR Measure Specifications - The detailed description of data element names and codes related to each of 20 2011 Physician Quality Reporting System and eRx quality measures available for electronic submission. - 2011 Physician Quality Reporting System Physician Quality Reporting System EHR Measure Specifications – Release Notes – The corresponding release notes for the 2011 EHR Measure Specifications. - 2011 EHR Downloadable Resource Table - 2011 EHR Downloadable Resource Table - Release Notes • 2011 EHR Documents for Vendors ZIP file containing: - Data Submission Specifications Utilizing HL7 QRDA Implementation Guide Based on HL7 CDA Release 2.0 - Updated EHR Data Submission Specifications Utilizing QRDA – Release Notes – Release notes for Data Submission Specifications Utilizing HL7 Quality Reporting Document Architecture Based on HL7 CDA Release 2.0 - 2011 EHR Downloadable Resource Table - 2011 EHR Downloadable Resource Table - Release Notes - Updated EHR Data Submission Specifications Utilizing QRDA Header Errors and Edits - Updated EHR Data Submission Specifications Utilizing QRDA Body Errors and Edits The document "Registry Requirements for Submission of 2011 Physician Quality Reporting System Data on Behalf of Eligible Professionals" may be found in the "Downloads" section below. This document describes the high-level requirements for a registry to qualify to submit under the registry-based reporting alternatives for 2010. This document also outlines how a registry can become qualified for 2010 data submission. Additionally, the documents "2011 Physician Quality Reporting System Registry XML Specifications" and "2011 Physician Quality Reporting System Edit Messages" can be found under the "Downloads" section below. These documents provide the data submission specifications for registry-based reporting as well as the edit messages for registry-based submissions. NOTE: Previous Physician Quality Reporting System Program Year Documents All previous program year documents have been moved to the appropriate program year section page at left.
Page Last Modified: 02/09/2012 4:55:15 PM
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