Quality & Practice

Step 1: Determine Eligibility

If any of the following apply, you are eligible for and must participate in PQRS to avoid a penalty:

  • You are an independent contractor and you bill Medicare Part B claims.
  • You are providing covered professional services paid under or based on the Medicare Physician Fee Schedule (MPFS) (including Medicare Part B primary claims, Medicare Part B secondary payer claims, and Railroad Medicare Part B claims).
  • You are a Medicare-enrolled provider.