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Spotlight

Use this page to find new PQRS documents and resources, which are arranged by date. This page is updated quarterly.

 

Updated 2015 PQRS Educational Resources (07-28-2015)

CMS has updated the following PQRS resources to reflect the IACS to EDIM transition::

 

New EIDM Quick Reference and User Guides (07-23-2015)

CMS has posted the following four new EIDM quick reference and user guides:

  • Managing Your CMS Enterprise Identity Management (EIDM) Account
  • Registering and Creating a CMS Enterprise Identity Management (EIDM) User ID and Password
  • Requesting an Approver Role in the Physician Quality and Value Programs Domain
  • Requesting a Provider Role in the Physician Quality and Value Programs Domain

To access the guides, navigate to the Physician and Other Health Care Professionals Quality Reporting Portal and click on the “Quick Reference Guides” link.

 

2015 PQRS Dashboard Interim Feedback Report User Guide (07-21-2015)

The 2015 PQRS Dashboard Interim Feedback Report User Guide is posted on the Analysis and Payment section page. The guide assists EPs and their authorized users with accessing and interpreting 2015 Interim Dashboard data. The Dashboard allows organizations and EPs to log-in to a web-based tool to access their 2015 PQRS data on a quarterly basis and monitor the status of claims-based individual measures.

 

2015 Beginner Reporter Toolkit (07-20-2015)

New to quality reporting or need a refresher? This beginner-level toolkit contains two documents to help individual EPs and PQRS group practices navigate their way through the various PQRS decision points and the impact of quality reporting. These two resources are meant to complement one another:

  • Learn how to report with the “Quality Reporting Roadmap.”
  • Learn how your data is utilized with the “Take a Moment & Participate Flowchart.”

 

2015 Transition from IACS to EIDM Listserv 3 (07-15-2015)

CMS has distributed a listserv detailing the Remote Identity Proofing (RIDP) and Multi-Factor Authentication (MFA) component of the new EIDM system.

The link to this document can be found here:  

CMS PQRS Listserv Message: EIDM Remote Identity Proofing Multi-Factor Authentication Requirement

 

2015 GPRO Web Interface Assignment Methodology Specifications (07-08-2015)

This document describes the process for assigning beneficiaries to a group practice participating in the Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) via the Web Interface or the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS.

To view click on the following link: 2015 GPRO Web Interface Assignment Methodology Specifications

 

2015 Transition from IACS to EIDM Listserv 2 (07-02-2015)

CMS has distributed a listserv with additional information for individuals who currently have or will soon need IACS accounts for PQRS participation.

The link to this document can be found here:  

Additional Information on 2015 Transition from IACS to EIDM Listserv

 

QualityNet Help Desk Availability (06-29-2015)

CMS and the QualityNet Help Desk will be closed on Friday, July 3, 2015 to observe Independence Day.

Regular business hours will resume on Monday, July 6 from 7:00 a.m. to 7:00 p.m. Central Time, Monday through Friday. The QualityNet Help Desk can be contacted at 1-866-288-8912 (TTY 1-877-715-6222) or via qnetsupport@hcqis.org for help with questions.

 

2015 PQRS Participation and Payment Adjustment for Providers Who Rendered Services at Independent Diagnostic Testing Facilities (IDTFs) and Independent Labs (ILs) (06-11-2015)

CMS has updated information regarding the 2015 PQRS Payment Adjustment and 2015 PQRS participation for those who render services at IDTF and ILs. Please see the announcement for details. 2015 PQRS Participation and Payment Adjustment for Providers Who Rendered Services at Independent Diagnostic Testing Facilities (IDTFs) and Independent Labs (ILs)

 

NEW! CAHPS® for PQRS survey web site (05-20-2015)

For more information, please visit the CAHPS® for PQRS survey web site at: http://www.pqrscahps.org/

 

2015 Transition from IACS to EIDM Listserv (05-15-2015)

CMS has distributed a listserv with information for individuals who currently have or will soon need IACS accounts for PQRS participation. The link to this document can be found here:  2015 Transition from IACS to EIDM Listserv

 

2015 PQRS CMS-Certified Survey Vendor/CAHPS for PQRS Made Simple (05-08-2015)

An updated version of the 2015 PQRS CMS-Certified Survey Vendor/CAHPS for PQRS Made Simple has been posted on the CMS-Certified Survey Vendor and How to Get Started section pages. This is version 1.1 of this document and it replaces the previously posted 1.0 version. The reference to “first quarter 2016” on page 1 was updated to “November 2015-January 2016”.

 

2015 PQRS Implementation Guide (05-06-2015)

The 2015 PQRS Implementation Guide has been updated. Pages 39 (decision tree, box 13-14) and 43 (accompanying text/numbered list) were updated to remove the incorrect cross-cutting measures requirement listed in GPRO via EHR. Version 1.3 of this guide is posted on the Measures Codes, How to Get Started, and Educational Resources section pages.

 

2015 Qualified Registries (05-05-2015)

This updated 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 posted on the Registry Reporting section page.

 

How to Report Once for 2015 Medicare Quality Reporting Programs (04-30-2015)

The How to Report Once for 2015 Medicare Quality Reporting Programs document has been revised to remove the incorrect cross-cutting measures requirement statement for group practices via EHR (page 6 visual). This is version 1.2 of the document and it replaces the previously posted version.  To view this document, go to the How to Get Started section page or the Educational Resources section page.  

 

2015 Registration for PQRS GPRO Web Interface (04-27-2015)

PQRS group practices choosing to take part in PQRS through the GPRO Web Interface must register by June 30, 2015. Registration must be completed online through the Physician Value- Physician Quality Reporting System (PV-PQRS) Registration System. For additional information on GPRO Web Interface registration, please refer to the 2015 PQRS GPRO Requirements document. See the 2015 PQRS GPRO Registration Quick-Reference Guide posted on the GPRO Web Interface section page.

 

2015 PQRS Registration (04-27-2015)

The Physician Value-Physician Quality Reporting System (PV-PQRS) registration system will be available April 1, 2015 through June 30, 2015 and can be accessed at https://portal.cms.gov. The PV-PQRS registration system allows group practices to register to participate in the PQRS GPRO in 2015 via qualified PQRS registry, Web Interface (for groups with 25 or more eligible professionals [EPs] only) or using an EHR. In order to register, groups must have an approved Individuals Authorized Access to the CMS Computer Services (IACS) account and indicate their reporting mechanism for the 12-month period. The 2015 PQRS data submission window will be in the first quarter of 2016.

See the 2015 PQRS GPRO Registration Quick-Reference Guide posted on the Group Practice Reporting Option section page. If you have questions about how to register or set up an IACS account, please contact the QualityNet Help Desk at 1-866-288-8912 or via email at Qnetsupport@hcqis.org from 7 AM- 7 PM Central Time. Please note that groups must have an approved IACS account to register for one of the PQRS GPRO options. It can take up to 24 hours for a group to receive approval for their IACS account; therefore, groups wishing to register should make sure their IACS accounts are approved as soon as possible.

 

2013 PQRS eRx Experience Report (04-23-2015)

The following documents pertaining to the 2013 Physician Quality Reporting System (PQRS) and Electronic Prescribing (eRx) Experience Report are available in the 2013 PQRS and eRx Experience Report zip file:

  • 2013 PQRS and Electronic Prescribing (eRx) Experience Report - summarizes the historical reporting experience of eligible professionals in the PQRS and eRx Incentive program through program year 2013 as well as preliminary PQRS data for the 2014 program year.
  • 2013 PQRS and eRx Incentive Program Release Appendix - provides tables and explains data and methods for the report.

To view the 2013 PQRS and eRx Experience Report zip file, go to the Analysis and Payment section page. 

 

Physician Quality Reporting Programs Strategic Vision (04-23-2015)

The Physician Quality Reporting Programs Strategic Vision (or “Strategic Vision”) describes a long-term vision for CMS quality measurement for physicians and other health care professionals and public reporting programs, and how they can be optimized and aligned to support better decision-making from doctors, consumers, and every part of the health care system.  This Strategic Vision articulates how we will build upon our successful physician quality reporting programs to help achieve the CMS Quality Strategy’s goals and objectives, and therefore contribute to improved healthcare quality across the nation. The Physician Quality Reporting Programs Strategic Vision document is posted in the downloads box on the Quality Initiatives - General Information section page.

 

How to Become a CAHPS for PQRS Survey Vendor (04-21-2015)

The application period to become a CAHPS for PQRS Survey Vendor has closed.  Survey vendors who will conduct the survey in 2015, currently possess all of the 2015 CAHPS for PQRS Survey Minimum Business Requirements. The next application period to become a CAHPS for PQRS Survey Vendor will be in spring 2016. For more information, please contact the CAHPS for PQRS Technical Assistance Email at pqrscahps@hcqis.org

 

2015 Qualified Clinical Data Registries (04-16-2015)

This document contains an initial listing of 2015 Qualified Clinical Data Registries (QCDRs) including detailed information of the services each QCDR 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. These QCDRs are the first batch who has met the full qualification criteria. An updated version of this list will be posted once qualification processes for all QCDRs are completed. Eligible professionals wishing to participate using the QCDR reporting option should review this document posted on the Qualified Clinical Data Registry section page.  

 

2014-2016 PQRS Timeline (04-15-2015)

This updated document includes important PQRS dates from 2014-2016, as well as corresponding resources for each PQRS milestone. To view the document, go to the PQRS homepage or the Educational Resources section page.  

 

2015-2017 PQRS Timeline (04-15-2015)

This updated PQRS timeline document includes 2015-2017 milestone dates and corresponding resources.  To view the document, go to the PQRS homepage or the Educational Resources section page.  

 

2015 Critical Access Hospitals (CAHs) Billing Under the Optional Payment Method (Method II) (04-13-2015)

CMS has packaged several documents containing information that is relevant to CAHs billing under Method II in relation to PQRS.  CAHs billing under Method II may review these documents by clicking the following link: 2015 CAH-II Reporting PQRS. As new documents are added to this collection, the Spotlight page on the PQRS website will be updated.

 

MLN Matters® Special Edition Article #SE1508 on Physician Quality Reporting System 2013 Reporting Year and 2015 Payment Adjustment for RHCs, FQHCs, and CAHs Released (04-06-2015)

On March 6, 2015, MLN Matters® Special Edition Article #SE1508, Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs), was released. This article is designed to provide education on the PQRS 2013 reporting year and 2015 payment adjustment for RHCs, FQHCs, and CAHs.

 

2014 PQRS List of Eligible Professionals (04-06-2015)

This document was updated to remove references to specific facilities being eligible but not able to participate in PQRS. To view the document, go to the Overview section page or the How To Get Started section page.