Need to Know: Qualified Registry reporting for PQRS in 2015

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As an eligible professional or group practice, one option you have to report quality measures for PQRS is using a qualified registry. CMS qualified registries are entities that collect clinical data from providers or group practices and submit that data to CMS on behalf of PQRS participants.

Work directly with your registry—or vendors like Able Health that make working with registries easier—to submit data satisfactorily on selected measures. The qualified registry reporting mechanism supports the reporting of both individual measures and measures groups.

Individual Measures Reporting Requirements for 2015

Individual eligible professionals and group practices may satisfactorily report for PQRS this year by meeting the following criteria:

  • Report on at least 9 measures covering 3 National Quality Strategy domains for at least 50% of applicable Medicare Part B patients. If you see at least one Medicare patient in a face-to-face encounter in 2015, then you must also report on at least one cross­-cutting measure.
  • Eligible professionals that submit quality data for fewer than 9 PQRS measures for at least 50% of their patients or encounters eligible for each measure OR that submit data for measures covering fewer than three domains for at least 50% of their patients or encounters eligible for each measure will be subject to the CMS Measure Applicability Validation (MAV) process. 

  • Measures with a 0% performance rate, meaning you do not report any patients who meet denominator and numerator requirements, will not be counted. 

Group practices must have registered with CMS prior to June 30, 2015 to report via qualified registry under the Group Practice Reporting Option.

Detailed measure specification information for individual quality measures that can be reported via a qualified registry can be found in the 2015 Physician Quality Reporting System (PQRS) Measure Specifications Manual for Claims and Registry Reporting of Individual Measures.

Measures Groups Reporting Requirements for 2015

Individual eligible professionals who wish to report PQRS using a qualified registry also have the option to report on a single measures group instead of 9 individual measures. To report measures groups satisfactorily, eligible professionals must report at least one measures group on a 20-patient sample, a majority of which (at least 11 out of 20) must be Medicare Part B beneficiaries.  For this reporting mechanism, providers should review measure specifications using the 2015 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual.

If you have not yet started tracking quality measures for PQRS reporting, participating via the qualified registry reporting mechanism is one of the best ways to get on board—even this late in 2015. If your practice has used an EHR to document patient health information throughout the year, then catching up on PQRS reporting and even improving on PQRS quality metrics is still possible. If you still have questions about how this works, send us a message and we guarantee a response.

Further reading:
How using the MIPS 90-day reporting period will increase your 2017 Composite Score
Avoiding a penalty in 2018 MIPS: the nuts and bolts

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