2011 Physician Quality Reporting System (PQRS) incentive year ends. Report data by March 31, 2012 to claim a 1% Medicare bonus.


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Topic 2011 Physician Quality Reporting System (PQRS) incentive year ends. Report data by March 31, 2012 to claim a 1% Medicare bonus.
Background 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.
Regulating Body Centers for Medicare & Medicaid Services (CMS)
Compliance Date 12/31/2011
Consequences Incentives vary 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.
Next Steps 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 patient information. 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.
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