Individual eligible professionals (EPs) and group practices participating in the Physician Quality Reporting System (PQRS) group practice reporting option (GPRO) can avoid the 2017 PQRS negative payment adjustment by satisfactorily reporting 2015 quality measures data to a participating registry. Each EP or group participating in GPRO via registry must satisfactorily report on at least 50% of eligible instances for at least 9 measures covering 3 National Quality Strategy (NQS) domains to avoid the negative payment adjustment. If fewer than 9 measures or 3 NQS domains are reported via a qualified registry, CMS will apply a measure-applicability validation (MAV) process. Refer to MAV information available on the Analysis and Payment page. Individual EPs can also report on a 20-patient sample (if reporting measures groups) to avoid the negative payment adjustment. Individual EPs or group practices reporting via GPRO should work directly with the participating registry for more information on how to submit data on the selected measures or measures group. The 2015 PQRS data submission window will be in the first quarter of 2016.
Individual EPs and PQRS group practices who did not satisfactorily report data on quality measures for covered professional services in 2013 and/or 2014 will have a negative payment adjustment applied, respectively, in 2015 and/or 2016.
2016 Physician Quality Reporting System (PQRS): Qualified Registry Criteria Toolkit
CMS has posted a criteria toolkit for entities that are interested in becoming a 2016 qualified registry. The 2016 PQRS: Qualified Registry Criteria Toolkit includes detailed information regarding the self-nomination and qualification requirements. Entities wishing to participate as a qualified registry in the 2016 PQRS should review the documents in this toolkit. The following documents pertaining to the 2016 qualified registry participation are included in the zip file titled 2016 PQRS: Qualified Registry Criteria Toolkit:
- 2016 Qualified Registry Criteria - Provides guidance to prospective registries on successfully completing the self-nomination process to become a 2016 qualified registry.
- 2016 Qualified Registry Data Validation Plan Criteria - Assists entities interested in participating as a Qualified Registry with the process of submitting a data validation plan that meet the requirements as outlined by CMS in the 2016 Medicare Physician Fee Schedule (MPFS) final rule.
2015 Registry XML Specifications
Qualified registry vendors must submit test and production data for the 2015 program year using the Registry XML specification. The 2015 Registry XML Specifications also contains a list of error messages.
2015 Physician Quality Reporting System (PQRS): Registry Reporting Made Simple
2015 PQRS: Registry Reporting Made Simple is a beginner-level document outlines the steps necessary in selecting a qualified registry for 2015 PQRS reporting and applies to individual EPs who wish to report via qualified registry or group practices that registered for qualified registry-based reporting under the GPRO.
2015 Registry Vendor Criteria
CMS has posted the criteria for 2015 registry vendors in the 2015 PQRS: Qualified Registry Criteria document, which includes information regarding the self-nomination process. Registry vendors wishing to participate in the 2015 PQRS should review this document.
2015 Qualified Registries
This document contains a listing of 2015 Qualified Registries including detailed information of the services each Qualified Registry offers, the cost incurred by their clients, as well as the measures they are supporting in PY 2015. These entities have self-nominated and indicated that they meet the requirements as outlined by CMS in the 2015 Medicare Physician Fee Schedule (MPFS) final rule. Eligible professionals wishing to participate using the Qualified Registry reporting option should review this document by clicking on the following link: 2015 Qualified Registries.
2015 PQRS Qualified Registry Training Guide
The 2015 PQRS Qualified Registry Training Guide is an intermediary-level resource that provides information to EPs (individuals and group practices participating via GPRO) and qualified registry vendors about reporting 2015 PQRS via qualified registry. This document provides EPs with information about what a qualified registry is and the benefits of participating via a qualified registry. The document also provides qualified registry vendors with information about the Submission Engine Validation Tool (SEVT), Production Submission and lessons learned from previous program years.
- Page last Modified: 11/09/2015 1:20 PM
- Help with File Formats and Plug-Ins