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Physician Quality Reporting System

Physician Quality Reporting System

About PQRS

The Physician Quality Reporting System (PQRS) is a quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care to Medicare. PQRS gives participating EPs and group practices the opportunity to assess the quality of care they provide to their patients, helping to ensure that patients get the right care at the right time.

By reporting on PQRS quality measures, individual EPs and group practices can also quantify how often they are meeting a particular quality metric. Beginning in 2015, the program will apply a negative payment adjustment to individual EPs and PQRS group practices who did not satisfactorily report data on quality measures for Medicare Part B Physician Fee Schedule (MPFS) covered professional services in 2013. Those who report satisfactorily for the 2015 program year will avoid the 2017 PQRS negative payment adjustment.

Note: PQRS was formerly known as the Physician Quality Reporting Initiative (PQRI).

Stay up to date on the latest PQRS news and updates by following us on Twitter and by subscribing to the PQRS Listserv.

PQRS Quick Links

For step-by step instructions on how to implement PQRS, view the How to Get Started page. In addition, learn more about PQRS and how to participate by visiting the following pages:

Help Desk

If you have questions or need assistance with PQRS reporting, contact the QualityNet Help Desk. The Help Desk is available Monday – Friday; 7:00 AM – 7:00 PM Central Time (CT):
Phone: 1-866-288-8912 TTY: 1-877-715-6222 Email:

Sign-Up and Registration Information

While individual EPs do not need to sign up or pre-register in order to participate in PQRS, group practices wishing to participate via the Group Practice Reporting Option (GPRO) must register. To avoid the PQRS negative payment adjustment, an EP or group practice must meet the criteria for satisfactory reporting specified by CMS for a particular reporting period. Please review the revised List of Eligible Professionals to confirm eligibility to participate in PQRS.

Note: The PQRS program requirements and measure specifications for the current program year may be different from the PQRS program requirements and measure specifications from a prior year. Individual EPs and group practices are responsible for ensuring that they are using the PQRS documents for the correct program year.

2015 PQRS

Individual EPs: To participate in 2015 PQRS, individual EPs may choose to report information on individual PQRS quality measures or measures groups using the following mechanisms:

  1. Medicare Part B claims
  2. Qualified PQRS registry
  3. Direct electronic health record (EHR) using certified EHR technology (CEHRT)
  4. CEHRT via data submission vendor
  5. Qualified clinical data registry (QCDR).

Individual EPs who meet the criteria for satisfactory submission of PQRS quality measures data via one of the reporting mechanisms listed above for MPFS services furnished during the 2015 reporting period will avoid the 2017 negative PQRS payment adjustment (-2%) for covered professional services furnished during that same reporting period.

Group Practices: A group practice may also avoid the PQRS negative payment adjustment by meeting the criteria for satisfactory reporting specified by CMS. To participate in the 2015 PQRS via the GPRO, group practices must register to take part in PQRS GPRO by June 30, 2015. Registration must be completed online through the Physician Value-Physician Quality Reporting System (PV-PQRS) Registration System. During registration, group practices must indicate their reporting method as well as CAHPS for PQRS participation. They may choose to report information on PQRS quality measures using the following:

  1. Qualified PQRS registry
  2. Web Interface (for groups of 25+ only)
  3. Direct EHR using CEHRT
  4. CEHRT via data submission vendor
  5. CAHPS for PQRS via CMS-certified survey vendor (for group practices of 2+)


Disclaimer: If a group is reporting for PQRS through another Centers for Medicare & Medicaid Services (CMS) program (such as the Comprehensive Primary Care Initiative, Medicare Shared Savings Program, or Pioneer Accountable Care Organizations), please check the program’s requirements for information on how to report quality data to avoid the PQRS payment adjustment. Please note: Although CMS has attempted to align or adopt similar reporting requirements across programs, EPs should look to the respective quality program to ensure they satisfy the requirements for each program (such as PQRS, EHR Incentive Program, Value-based Payment Modifier (Value Modifier), etc.) in which they participate.