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PQRS Participation Guide

What Is the Physician Quality Reporting System?

The Physician Quality Reporting System provides an incentive payment for eligible professionals who satisfactorily report data on quality measures for covered professional services furnished to Medicare beneficiaries.

How Do I Participate?

To participate in the 2013 PQRS, neurologists may choose to report information on individual PQRS quality measures or measures groups: 1) to CMS on their Medicare Part B claims, 2) to a qualified PQRS registry, or 3) to CMS via a qualified EHR product.

What Are The Reporting Periods?

CMS has 2 different reporting periods for the 2013 PQRS program, they are a 6-month and a 12-month reporting option. The 6-month reporting option applies only to measures which are in a measures group and reported via a registry (i.e. Parkinson's Disease, Dementia, Sleep Apnea). The 12-month reporting option would be retained for individual measures which are reported either via a registry or claims (i.e. Epilepsy).

Are There Neurology Specific Measures?

The 2013 program includes three epilepsy measures, six Parkinson's disease measures, nine dementia measures, and four sleep measures. The epilepsy measures are reportable as individual measures and the other three are reportable as measures groups. These measures go into effect January 1, 2013. In order to qualify for the incentive members should begin using the measures as soon as possible.

How do I avoid the 2015 PQRS payment penalty?

In order to avoid the 1.5% payment penalty in 2015 an Eligible Provider must successfully report on at least one individual measure. However, if an EP wishes to also earn the 2013 incentive payment they must report on at least 3 individual measures or 1 measures group.

• CMS Physician Quality Reporting Initiative
• PQRS Data Collection Sheets
• Information on reporting via a qualified registry
• Information on reporting via a qualified EHR