Physician Quality Reporting System (PQRS)

Physician Quality Reporting Initiative (PQRI) is a voluntary bonus program established by Congress with the goal of improving the quality of medical care. Under the quality reporting initiative, those eligible providers who choose to participate will help capture data about the quality of care provided to Medicare beneficiaries, to identify the most effective ways to use the quality measures in routine practice and to support physicians in their efforts to improve quality of care.

Physicians satisfactorily reporting the quality measures for 2012 through 2014 will earn an approximate .5% bonus on Medicare physician services.  An additional bonus is available for qualifying groups.  You may report using individual measures or group measures.  See the Implementation Guide for more details.

Other information you may find helpful.

2012 Measures List

2012 PQRS Measures Specifications

2012 PQRS Getting Started with Measures Groups

2012 PQRS Measures Groups Specifications

The  Maintenance of Certification program has been renewed for 2012.  For physicians reporting PQRS may qualify for an additional .5% bonus by maintaining their credentialling and reporting activities such as CME. However, physicians had to sign up for the program by the end of January to qualify.

For more details, visit CMS's 2011 PQRI program visit the CMS website.

AMA's Resources

The AMA has done a stellar job of assembling CMS data on PQRI standards in a useable format.  Whether seeking to report on group or individual measures, a good place to start is the AMA's section on Clinical Quality Improvement.

Example PQRI Superbill

An example PQRI superbill for primary care practices using claims-based reporting. It also includes a section for reporting electronic prescriptions.

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