Quality & Practice

Physician Quality Reporting System

What is PQRS?:

The Physician Quality Reporting System (PQRS) is a Centers for Medicare and Medicaid Services (CMS)-mandated quality reporting program that gives eligible professionals negative payment adjustments to promote reporting of quality information. PQRS gives participating EPs the opportunity to assess the quality of care they are providing, quantify how often they are meeting a particular quality metric and compare their performance with their peers. 

Why Participate in PQRS?: 

  • Physicians must successfully participate in PQRS in 2016 to avoid a penalty in 2018

  • Physicians who choose not to participate in 2016 will be subject to a - 2% penalty on all their 2018 Medicare Part B, Medicare as a Secondary Payer, and Railroad Medicare allowables.

  • Non-PQRS reporters will also experience an additional penalty under the value-based payment modifier program, potentially an additional 2-4% penalty.

Physician Quality Reporting System (PQRS)

Avoid a -2% payment adjustment.

 Medicare Electronic Health Record (EHR) Incentive Program

Successfully attest to avoid the program's -4% payment adjustment.

Value-Based Payment Modifier (Value Modifier)

Receive an upward or neutral payment adjustment and avoid the program's -2 to -4% payment adjustment

What is PQRSwizard?

PQRSwizard is an online reporting tool, offered in partnership with CECity, which allows for individual EPs to report their PQRS data. Download the brochure.

How is PQRS different from MIPS?

PQRS requirements are for 2016. MIPS will take effect in 2017. Learn more about MIPS.