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4 Steps to Getting Started with PQRS

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Learn how to start participating in the Physician Quality Reporting System in just four steps.

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4 Steps to Getting Started with PQRS

  1. 1. 4 Steps to GettingStarted with PQRS Reporting
  2. 2. Why PQRS?4 reasons
  3. 3. 1. Earn incentives • 2013: 0.5% • 2014: 0.5%2. Avoid penalties • 2015: 1.5% • 2016 and subsequent years: 2.0%
  4. 4. 3. Get double credit • Can use PQRS reporting to satisfy Meaningful Use CQM requirement
  5. 5. 4. Position for value- based reimbursement • Reporting of PQRS measures will determine application of CMS’ value- based payment modifier
  6. 6. How to Get Started 4 steps
  7. 7. Step 1: Determine your eligibility.
  8. 8. Professionals are eligible for PQRS if they provideservices paid under/based upon the Medicare Physician Fee Schedule.
  9. 9. No signup or pre-registration is required.
  10. 10. Step 2: Choose a PQRS reporting method.
  11. 11. There are five methods:1. Claims2. Registry3. Data submission vendor (DSV)4. EHR Direct5. Group practice reporting option (GPRO)
  12. 12. So how do you choosewhich method is right for you?
  13. 13. Factors to consider: • Cost • Your EHR • Risk • Complexity • Meaningful Use participation • Positioning for the future
  14. 14. Cost: • Some PQRS submission methods involve costs: • Registry-based • DSV • Other methods do not: • EHR direct
  15. 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. 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. 17. Complexity • Some options are more complex than others • Most complex: • Claims-based • Group reporting option
  18. 18. Meaningful UseParticipation • CMS has aligned PQRS and Medicare EHR Incentive Program: • PQRS Medicare EHR Incentive Pilot
  19. 19. Step 3: Select PQRSmeasures to report.
  20. 20. Available measures willdepend on the reportingmethod you choose. See www.cms.gov/pqrs for more information.
  21. 21. Step 4: Report yourselected measures via your selected method.
  22. 22. The reporting period and process for reportingmeasures also depend on your chosen reporting method.
  23. 23. Want to learn more about PQRS? Watch a free recorded webinar atsuccessehs.com/archived- webinars.
  24. 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. 25. Visit www.successehs.com for more information.

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