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HTS – PQRS: 2016 PQRS Checklist – Checking it Off

December 20, 2016 by Dale Applegate 2 Comments

2016-PQRS

2016 PQRS Checklist – Checking it Off

December 20, 2016
Written by Sarah Leake

The 2016 year is almost over and we are all busy making and hopefully marking off our holiday preparation checklists.   So it is fitting to take a look at the PQRS checklist and get that big marker out to make checks on numbers one through ten.  That is where you should be comfortable sitting at this point in the project and … Read the rest

Filed Under: PQRS Tagged With: CQM, EIDM, PQRS, QRUR, VBM

HTS – PQRS: Submitting an Informal Review Request for PQRS/VM Adjustments

September 16, 2016 by Dale Applegate Leave a Comment

09162016-2016-PQRS-VM-Adjustments

PQRS: Submitting an Informal Review Request for PQRS/VM Adjustments

September 16, 2016
Written by Sarah Leake

The CMS Informal Review Request is a mechanism for providers and groups to request a review of negative payment adjustments for PQRS and the Value Modifier.  This process allows individual Eligible Professionals, CPC practices, PQRS group practices and ACOs to request review of the payment adjustment determination.

When an informal review request is submitted, CMS will investigate whether a … Read the rest

Filed Under: PQRS Tagged With: ACO, EIDM, PQRS, QRUR, Value Modifier

HTS – PQRS: 2016 PQRS Checklist

September 1, 2016 by Dale Applegate Leave a Comment

09012016-2016-PQRS

PQRS: 2016 PQRS Checklist

September 2, 2016
Written by Sarah Leake

This checklist was initially provided in the January blog post and is a good time to revisit to see where you are at in the steps for participation for 2016 PQRS.  I hope you find yourself using this list, marking off those items completed and are now at around Item 7, choosing your measures!   As of posting time of this blog, there have been … Read the rest

Filed Under: PQRS Tagged With: CQM, EHR, EIDM, PQRS, VBM QIO

HTS – PQRS: What’s in my QRUR?

July 15, 2016 by Dale Applegate Leave a Comment

07152016-QRUR-Report

PQRS: What’s in my QRUR?

July 15, 2016
Written by Sarah Leake

The Quality Resource Use Reports (QRURs) are part of CMS’s Physician Quality and Value Based program which provides physicians with comparative information about the quality and cost of the care delivered to their Medicare fee-for-service patients.  The report uses quality measures from the Physician Quality Reporting System (PQRS) as well as the information you report through claims.

What is the value of the … Read the rest

Filed Under: PQRS Tagged With: EIDM, PQRS, QRUR, Value Modifier, VM

HTS – PQRS: Group Registration Deadline Approaching

June 1, 2016 by Dale Applegate Leave a Comment

06012016-PQRS-Deadline

PQRS: Group Registration Deadline Approaching

June 1, 2016
Written by Sarah Leake

Deadline for Group Reporting Registration is June 30, 2016.  Groups of 2 or more EPs can participate in PQRS using Group Reporting Option (GPRO), reporting methods. Remember from a previous post that when registering you will need to include the mechanism chosen for reporting.  Here are the options available for group reporting.

At the time of registration you must indicate your submission method … Read the rest

Filed Under: PQRS Tagged With: CMS, EHR, EIDM, GPRO, PQRS, PQRS Registry

HTS – PQRS: Do You Need an EIDM Account?

May 1, 2016 by Dale Applegate Leave a Comment

05012016-EIDM-Account

PQRS: Do You Need an EIDM Account?

May 1, 2016
Written by Sarah Leake

CMS EIDM is CMS’s Enterprise Identity Management system, which provides a way for business partners to apply for, obtain approval of, and receive a single user ID for accessing multiple CMS applications. The PV-PQRS Domain in EIDM provides access for PQRS program information and various tasks such as viewing QRUR and feedback reports, submitting reporting data, and GPRO self-nomination.  An EIDM … Read the rest

Filed Under: PQRS Tagged With: CMS, EIDM, GPRO, PQRS, QRUR

HTS – PQRS: Choosing Group or Individual Reporting for PQRS

April 3, 2016 by Dale Applegate Leave a Comment

04032016-Group-or-Individual

PQRS: Choosing Group or Individual Reporting for PQRS

April 3, 2016
Written by Sarah Leake

Registration to report as a group opened April 1, 2016 and closes June 30, 2016. Groups of 2 or more EPs can participate in PQRS using Group Reporting Option (GPRO) reporting methods. At the time of registration you must indicate your submission method –

  • Qualified PQRS Registry
  • Direct EHR or via Data Submission Vendor
  • Web interface (groups of 25 or
… Read the rest

Filed Under: PQRS Tagged With: CAHPS, EIDM, GRPO, PQRS, TIN, VM

HTS – PQRS: 2016 PQRS Checklist

January 1, 2016 by Dale Applegate Leave a Comment

01012016-2016-PQRS

PQRS: 2016 PQRS Checklist

January 1, 2016
Written by Sarah Leake

PQRS steps and decisions can be daunting for an organization or practice. So, to start out the new reporting year let’s keep it simple and look at the high level steps for participating in the PQRS program.  This should serve as a guide to keeping you on track for tasks throughout the year.

  1. Determine program eligibility
    • PQRS
    • VBM
  2. Choose reporting method
    • Group
    • Individual
  3. Choose
… Read the rest

Filed Under: PQRS Tagged With: CQM, EIDM, PQRS, QRUR

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