This document outlines the 4 steps to getting started with PQRS reporting: 1) Determine eligibility based on providing Medicare-covered services 2) Choose a reporting method such as claims, registry, EHR, or group practice based on factors like costs, EHR, risk, and meaningful use participation 3) Select measures to report from available options depending on reporting method 4) Report selected measures via the chosen method during the specified reporting period and process

1. 4 Steps to Getting
Started with PQRS
Reporting

2. Why PQRS?
4 reasons

3. 1. Earn incentives
• 2013: 0.5%
• 2014: 0.5%
2. Avoid penalties
• 2015: 1.5%
• 2016 and subsequent
years: 2.0%

4. 3. Get double credit
• Can use PQRS reporting to
satisfy Meaningful Use
CQM requirement

5. 4. Position for value-
based reimbursement
• Reporting of PQRS
measures will determine
application of CMS’ value-
based payment modifier

6. How to Get Started
4 steps

7. Step 1: Determine your
eligibility.

8. Professionals are eligible
for PQRS if they provide
services paid under/based
upon the Medicare
Physician Fee Schedule.

9. No signup or pre-
registration is required.

10. Step 2: Choose a PQRS
reporting method.

11. There are five methods:
1. Claims
2. Registry
3. Data submission vendor (DSV)
4. EHR Direct
5. Group practice reporting
option (GPRO)

12. So how do you choose
which method is right for
you?

13. Factors to consider:
• Cost
• Your EHR
• Risk
• Complexity
• Meaningful Use participation
• Positioning for the future

14. Cost:
• Some PQRS submission
methods involve costs:
• Registry-based
• DSV
• Other methods do not:
• EHR direct

15. Your EHR
• To submit PQRS measures
via EHR Direct, you must
have an EHR qualified by
CMS to submit EHR Direct
measures.
• There are only 24 qualified
EHR Direct vendors for
2013 PQRS.

16. Risk
• Any time you convert data
from one system to another,
you risk losing data integrity.
• Reporting through a registry
or DSV that uses registry
submission introduces this
risk.

17. Complexity
• Some options are more
complex than others
• Most complex:
• Claims-based
• Group reporting option

18. Meaningful Use
Participation
• CMS has aligned PQRS and
Medicare EHR Incentive
Program:
• PQRS Medicare EHR
Incentive Pilot

19. Step 3: Select PQRS
measures to report.

20. Available measures will
depend on the reporting
method you choose. See
www.cms.gov/pqrs for
more information.

21. Step 4: Report your
selected measures via your
selected method.

22. The reporting period and
process for reporting
measures also depend on
your chosen reporting
method.

23. Want to learn more about
PQRS?
Watch a free recorded
webinar at
successehs.com/archived-
webinars.

24. Need a health IT partner to
help you achieve success
with PQRS?
SuccessEHS is a 2013 EHR
Direct Qualified Vendor.
Learn how we can help.

25. Visit www.successehs.com
for more information.