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2014 Physician Quality Reporting System

Note: 2016 was the last program year for PQRS. PQRS transitioned to the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program. The final data submission timeframe for reporting 2016 PQRS quality data to avoid the 2018 PQRS downward payment adjustment was January through March 2017. The first MIPS performance period was January through December 2017. For more information, please visit the Quality Payment Program website.

2014 Physician Quality Reporting System (PQRS) Download Files 

2014 Physician Quality Reporting System is applicable only to services furnished between January 1, 2014 and December 31, 2014. For information about the Physician Quality Reporting System as it relates to services furnished in the 2014 year, click on the relevant document link below.  

CMS Sponsored Calls

2014 National Provider Calls

Statute Regulations Program Instructions

Measure Codes

Analysis and Payment

CMS-Certified Survey Vendor

Qualified Clinical Data Registries

Group Practice Reporting Option

2014 GPRO EHR Reporting for Group Practices

2014 PQRS GPRO Trainings

The following presentations provide training about the requirements and options for participating in PQRS through the GPRO for the 2014 program year.

2014 PQRS Group Practice Support Calls:

 Support calls held on the following dates:

• 10/30/14: Qualified Registry Reporting Overview (Presentation)
• 11/06/14: CMS-Certified Survey Vendor Overview (Presentation)
• 11/10/14: Electronic Health Record (EHR)-based Reporting Overview (Presentation)
• 01/13/15: Electronic Health Record (EHR)-based Reporting—Q&A Session (Presentation)
• 01/14/15: Qualified Registry Reporting—Q&A Session (Presentation)

GPRO Web Interface

2014 PQRS GPRO Web Interface Supporting Documents: 

• 11/05/14: GPRO Web Interface Overview and Q&A Session (Presentation)
• 11/12/14: IACS Overview and Q&A Session (Presentation)
• 11/13/14: Assignment and Sampling Overview and Q&A Session (Presentation)
• 11/20/14: Measures Specifications Overview and Q&A Session (PQRS group practices only)(Presentation)
• 12/04/14: Detailed Web Interface Training and Q&A Session (Presentation) 
• 12/11/14: Detailed XML Training and Q&A Session (Presentation)
• 01/15/15: GPRO Web Interface Q&A Session (Presentation)
• 01/26/15 – 01/30/15: Daily GPRO Web Interface Q&A Sessions (01/26/15 Presentation, 01/27/15 Presentation, 01/29/15 Presentation, 1/30/3015 Presentation)
• 02/05/15: Weekly GPRO Web Interface Q&A Session (Presentation)
• 02/19/15: Weekly GPRO Web Interface Q&A Session (Presentation)
• 02/26/15: Weekly GPRO Web Interface Q&A Session (Presentation)
• 03/06/15: Weekly GPRO Web Interface Q&A Session (Presentation)
• 03/12/15: Weekly GPRO Web Interface Q&A Session (Presentation)
• 03/16/15 – 03/20/15: Daily GPRO Web Interface Q&A Sessions (weekdays only) (03/16/15 Presentation, 03/17/15 Presentation)

Registry Reporting

Electronic Health Record Reporting

Payment Adjustment Information 

Maintenance of Certification Program Incentive

Educational Resources

Getting Started

  • Welcome to PQRS— YouTube video provides an overview of PQRS.
  • PQRS Overview Fact Sheet— Provides an overview of the CMS PQRS program, including information about payments, reporting, and additional resources.
  • PQRS Timeline 2014-2016—Includes important PQRS dates from 2014-2016, as well as corresponding resources for each PQRS milestone.
  • PQRS: What’s New for 2014—This fact sheet includes important information about changes to the Physician Quality Reporting System (PQRS) for 2014.

Reporting

  • How to Report Once for 2014 Medicare Quality Reporting Programs - This document serves as a guide to individual eligible professionals wishing to report quality measures one time during the 2014 program year in order to become incentive eligible for the 2014 Physician Quality Reporting System (PQRS), avoid the 2016 PQRS payment adjustment, and satisfy the clinical quality measure (CQM) component of the Electronic Health Record (EHR) Incentive Program.
  • Interactive How to Report Once for 2014 Medicare Quality Reporting Programs Tool - This interactive tool helps eligible professionals (both individual eligible professionals and group practices) determine how to report quality measures one time during the 2014 program year for multiple Medicare quality reporting programs. After answering a few questions about their 2014 PQRS reporting method, eligible professionals will be shown how to successfully report their quality data once to receive credit for multiple Medicare quality programs, including PQRS, the Medicare EHR Incentive Program, Accountable Care Organizations, and the Value-Based Payment Modifier.
  • 2014 PQRS: Claims Reporting Made Simple— Describes claims-based reporting and outlines steps that eligible professionals or practices should take prior to participating. It also provides helpful reporting tips for eligible professionals and their billing staff.
  • 2014 PQRS Registry Reporting Made Simple — Describes registry-based reporting and outlines steps that eligible professionals or group practices participating in GPRO should take in selecting a registry to work with for the 2014 PQRS program year.
  • 2014 PQRS EHR Reporting Made Simple — Describes EHR-based reporting and outlines steps that eligible professionals should take in selecting an EHR to work with for the 2014 program year.
  • 2014 PQRS: Maintenance of Certification (MOC) Program Incentive Made Simple — Provides steps for successful participation in the MOC Program Incentive. It also explains the role of the qualified Maintenance of Certification Program Incentive entity.
  • 2014 Web Interface Reporting Made Simple — Serves as a guide for group practices that have registered to take part in 2014 PQRS using the GPRO Web Interface.
  • 2014 PQRS GPRO Requirements — Provides requirements and criteria for group practices reporting option under 2014 PQRS.
  • 2014 Qualified Clinical Data Registry Made Simple — Describes Qualified Clinical Data Registry (QCDR) participation and outlines steps that individual eligible professionals should take in selecting a QCDR to work with for the 2014 PQRS program year.
  • 2014 CMS-certified Survey Vendor Made Simple — Provides requirements and criteria for group practices using CG CAHPS summary survey modules for 2014 PQRS participation.
  • 2014 PQRS Claims-Based Coding and Reporting Principles — Describes claims-based coding and reporting and outlines steps that EPs or practices should take prior to participating in 2014 PQRS. The following educational products are available to assist EPs with 2013 PQRS reporting.

Analysis & Reports

  • 2014 PQRS Claims Measure Applicability Validation— Zip file includes guidance for those eligible professionals who satisfactorily submit quality-data codes for fewer than nine PQRS measures or for fewer than three NQS domains using claims-based reporting, and how the MAV process will determine whether they should have submitted QDCs for additional measures. Zip file includes release notes and a chart depicting the process.
  • 2014 PQRS Registry Measure Applicability Validation— Zip file includes guidance for those eligible professionals who satisfactorily submit quality-data codes for fewer than nine PQRS measures or for fewer than three NQS domains using registry-based reporting, and how the MAV process will determine whether they should have submitted QDCs for additional measures. Zip file includes release notes and a chart depicting the process.