PQRS: Steps Needed to Report via Registry
August 10, 2016
Written by Sarah Leake
Choosing a Registry
Now that you have decided on Registry reporting for PQRS 2016 it is time to choose a Registry Vendor. Vendors can be very knowledgeable and valuable in selection and approach to determining quality measures to report. Some Registry websites have identified steps, they have videos to review and have experience in submitting and knowing the requirements. The CMS list of 2016 Qualified Registry List is a resource for you in your selection process and provides information on whether a registry supports Measure group and/or Individual Measures, GPRO and/or Individual reporting and services offered with pricing. Some EHR vendors are qualified registries and would most likely be a logical choice.
Reporting Individual or Measure Group?
Groups and Eligible Providers may report on Individual Measures via registry but only Eligible Provider may use the Measure Groups for reporting. The decision will be based on what types of care and clinical conditions are treated at the practice or group specialty, what extraction method will be used, quality goals and performance on measures. On the PQRS Measures Codes page is the 2016 PQRS Measures List and the PQRS Web-Based Measure Search Tool available for identifying applicable PQRS measures through use of filters and searches.
To report Individual Measures you must satisfactorily report on at least 50% of eligible instances for at least 9 measures covering 3 National Quality Strategy (NQS) domains to avoid the negative payment adjustment.
If fewer than 9 measures or 3 NQS domains are reported via a qualified registry, CMS will apply a measure-applicability validation (MAV) process to determine if additional measures or NQS domains could have been reported. Refer to MAV information on the Analysis and Payment webpage.
In addition, at least one cross-cutting measure must be satisfactorily reported for those individual EPs or PQRS group practices with a face-to-face encounter.
If Reporting Measures Groups, Individual EPs can report on a 20-patient sample to avoid the negative payment adjustment. All Measures in the group must be reported for the 20-patient sample.
PQRS Registry Reporting CMS Webpage
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