STEP 1: Are you eligible for the PQRS Incentive Program?
Eligible Providers include most physicians, podiatrists, optometrists, dentists and chiropractors, as well as practitioners and therapists. A complete listing of eligibility requirements can be found here.
STEP 2: Register for an individual Authorized Access for CMS Computer Services (IACS) account, if you do not already have one
You will need an IACS account to view TIN-level feedback reports and to upload data for EHR-based submission. Go to https://applications.cms.hhs.gov/warning.html. Enter the applications portal, select “Account Management”, then “New User Registration”, and then select the “Physician Quality Reporting Systems/eRx link. Be sure to remember your IACS account information. See the IACS Quick Reference Guides at http://www.qualitynet.org/pqrs for more information or contact the QualityNet Help Desk for assistance: 866-288-8912 TTY/TDD at 877-715-6222 (Monday – Friday 7:00 a.m.-7:00 p.m. CST) email at qnetsupport@sdps.org
STEP 3: Estimate your incentive payment.
In 2012 eligible professionals will be paid 0.5% of their Medicare Part B PFS allowable charges for successfully reporting PQRS. This payment is in addition to any incentive payments earned under the EHR Incentive Programs (i.e., “Meaningful Use”) or the e-Prescribe Incentive Program.
STEP 4: Determine if you are eligible to use the EHR-based method to report PQRS
If you are using an EHR that is qualified to report PQRS, you will likely want to report using this mechanism, rather than reporting through claims or a registry. Using built-in software, qualified EHRs are able to pull source data directly from a properly documented EHR for submission to CMS after the close o fthe reporting year. Beginning in 2012, EHR-based PQRS reporting can be done either directly using a qualified EHR or indirectly using a qualified EHR Data Submission Vendor. The final listing of qualified EHRs and EHR Data Submission Vendors will be posted here. If your vendor is eligible, please click here for more information about reporting PQRS through your EHR and Primaris’ EHR-reporting services.
STEP 5: If you are not eligible for EHR-based reporting, select either the Registry-based or Claims-based reporting method
- Registry Reporting: You may be able to report through a Qualified Registry. A listing of qualified registries for 2012 will be available later this year. The qualified registries submit data to Medicare on behalf of the provider after the close of the reporting period. If you elect registry reporting, contact your registry for additional instructions.
- Claims Reporting: With Claims reporting, specific PQRS codes (called “Quality Data Codes, or QDCs”) must be reported on each Medicare Part B PFS eligible claim at the time it is submitted for payment.
Click here for more information about Primaris’ Claims-reporting services.
Next Steps:
Assistance
Primaris is providing assistance to Missouri providers with reporting preventive care measures in 2012 using the EHR or Claims options. Measure specifications differ depending on the reporting option you select and whether you report individual measures or a measures group. Missouri providers may contact Sandy Pogones at Primaris email spogones@primaris.org phone (573) 673-4531.
Providers may also contact the Quality Net Help Desk for assistance: 866-288-8912 TTY/TDD at 877-715-6222 (Monday – Friday 7:00 a.m.-7:00 p.m. CST) email at qnetsupport@sdps.org.