decisionhealth Newsletters, Part B News - 2016 Issue 5 (May)
Don’t let mixed-method PQRS reporting sink your quality efforts
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Article Overview
This article discusses physician quality reporting system (PQRS) reporting at the practice level, focusing on how different clinicians may use different reporting methods and how CMS evaluates those submissions. It is relevant to physicians, physician assistants, coding and quality staff, and practice managers who support quality measure reporting and want to understand the operational implications of using claims, registry, and electronic health record workflows. The piece also references CMS guidance and the 2016 PQRS measures list as a reference point for reporting preparation.
Why This Topic Matters
Understanding PQRS reporting structure helps practices align quality workflows and avoid problems that can affect successful participation in a reporting cycle. The article highlights why reporting method selection and consistency matter for CMS review of submitted quality data.
Article Sections
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Questions and answer on mixed-method PQRS reporting
Introduces the reporting question for a practice and summarizes the general CMS position on using different quality reporting methods across individual providers.
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Reporting method considerations and workflow preparation
Discusses how reporting method affects measure handling and why staff should review applicable CMS measure resources before submission.
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CMS Virtual Office Hours guidance
Notes CMS commentary from a Virtual Office Hours call about using more than one reporting method during a reporting cycle.
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Impact on quality reporting analysis
Explains the broader operational issue that CMS evaluates reporting methods separately when assessing submitted quality data.
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Resource
Lists a CMS reference document related to the reporting year discussed in the article.
What You Will Learn
- How PQRS reporting may differ across providers within the same practice
- Why the chosen reporting method affects measure handling and submission workflow
- What CMS guidance says about mixing reporting methods during a reporting cycle
- How CMS evaluates quality data submitted through separate reporting pathways
- Which CMS reference materials are cited for the reporting year discussed
Who Should Read This
- Physicians
- Physician assistants
- Practice managers
- Quality reporting staff
- Medical coders
- Revenue cycle staff
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