2011 Physician Quality Reporting System (PQRS) incentive year ends. Report data by March 31, 2012 to claim a 1% Medicare bonus.
The Centers for Medicare & Medicaid
Services (CMS) launched the Physician
Quality Reporting System (PQRS) in
2007. It is a voluntary program that pays
bonuses to physicians and other health care
professionals who collect and report data on
CMS-approved quality measures in treating
Medicare Part B patients. How much can you earn? Incentive payments
vary by year, but CMS reports that 2009
bonuses averaged $1,956 per eligible professional. So how can you participate? 1) Check reporting specifications for
the 131 individual quality measures or
14 CMS-approved measure groups at the CMS website listed below. 2) Collect clinical data for unique
Medicare Part B fee-for-service patients.
Numbers vary by reporting method. 3)Report data via an EHR product, a registry program, or your
Medicare Part B claim form.
Centers for Medicare & Medicaid Services (CMS)
by year (1% in 2011 and 0.5% in 2012-2014). Note, however, that physicians who do not report quality measures by 2015 will face a penalty (1.5% in 2015 and 2% in 2016). Rules for the 2012
program are expected mid-December 2011.
1. TMA encourages physicians
who have adopted an electronic
health record (EHR) to check with
their vendor to see if their system
is capable of reporting PQRS data.
This route minimizes practice
resources as it is often a free
service and does not require staff
time to review charts and to reenter
2. For physicians who have
not adopted an EHR, TMA
recommends use of a registry
program. Reporting via registry
simplifies the process and allows
the doctor to report on as few as
30 patients. Some practices report
it took only three hours to input
data into their PQRS registry. CMS
has stated that registry reporting
is 40-45 percent more effective in
obtaining incentive payments than
claims reporting. Visit the TMA PQRS resource center (below) registry options that offer TMA member discounts.
Find out how TMA can help!