Expanded PQRS requirements mean more practices may face validation

Why This Topic Matters

The article helps practices assess whether their quality reporting approach may trigger CMS validation and whether they are meeting the broader 2014 PQRS reporting expectations that affect reimbursement outcomes.

Article Sections

1. PQRS reporting requirements and validation overview

   Introduces the 2014 claims-based PQRS reporting changes and the role of CMS validation in reviewing reported measures. It frames the reporting expectations for practices seeking incentive or avoiding penalty review.

2. How measures applicability validation works

   Describes the general purpose of measures applicability validation and when it may be applied to reported measures. The section explains the broad validation concept and how CMS reviews reporting patterns.

3. Example of validation review and measure grouping

   Provides an example of how CMS may compare related measures within a reporting context. It illustrates the type of cross-checking used in validation without serving as a substitute for the full article.

4. Threshold review and sample-size considerations

   Discusses how CMS may consider minimum-threshold concepts when evaluating whether additional reporting could have been expected. The section addresses the general review framework for determining when validation may be triggered.