decisionhealth Newsletters, Part B News - 2015 Issue 3 (March)
Avoid a PQRS reporting surprise; check your EHR vendor’s submission capability
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Article Overview
This piece is aimed at practices, billers, and quality-reporting staff who rely on EHR vendors for Physician Quality Reporting System submission. It explains why vendor certification status may not guarantee reporting functionality, highlights the need to confirm measure and submission capabilities, and discusses backup options such as registries and documentation if a vendor cannot submit. The article is relevant to anyone managing Medicare quality reporting workflows and trying to reduce the risk of negative payment adjustments.
Why This Topic Matters
PQRS reporting depended on timely, accurate submission, and vendor assumptions could leave a practice without a workable reporting path. Understanding the general issue helps organizations verify their reporting setup in advance and prepare alternatives before penalties become a problem.
Article Sections
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Quality reporting
Introduces the reporting issue and explains why vendor capability matters for year-end submission planning.
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Check with your vendor, have a back-up plan
Discusses confirming EHR vendor support, considering measure availability, and preparing alternative reporting arrangements if needed.
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Select a registry if your vendor cannot report your PQRS data
Covers the general role of registries as an alternate submission path and the need to verify technical compatibility and costs.
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Provide proof if your vendor surprises you in the final minutes
Describes keeping documentation when a vendor cannot submit and considering follow-up steps if a penalty notice occurs.
What You Will Learn
- How PQRS reporting can be affected by EHR vendor submission capability
- Why certification status alone may not ensure reporting functionality
- What kinds of backup reporting options may be relevant
- Why documentation and verification matter when reporting problems arise
Who Should Read This
- Physician practices
- Medical office managers
- Quality reporting staff
- Billing and reimbursement professionals
- Compliance teams
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