Physician Quality Reporting System (PQRS)
Please note that this section of the American College of Surgeons Web site is continually updated as additional information on the PQRS becomes available. Please check back periodically for updates.
The Centers for Medicare & Medicaid Services (CMS) have continued the Physician Quality Reporting System (PQRS) since its enactment in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). PQRS is the first CMS national program to link the reporting of quality data to physician payment. The incentive payment for those eligible professionals who successfully participate in the program in 2012 is .5% of total allowed charges for Medicare Part B PFS covered professional services furnished during the reporting period.
Introduction to PQRS
ACS Bulletin Journal Articles about PQRS
What surgeons should know about... PQRS reporting in 2012 (3530K PDF)
PQRS Eligibility Criteria
Definition of Eligible Provider (30K PDF)
CMS PQRS Implementation Guide
2012 PQRS Measure Implementation Guide (1420K PDF)
CMS PQRS Decision Tree
2012 PQRS Decision Tree (350K PDF)
PQRS Measure List
2012 PQRS Measures List (440K PDF)
Reporting
Claims-Based Reporting Information
2012 PQRS Claims Reporting Overview (50K PDF)
PQRS Claims and Registry Measure Group Specification Manual and Release Notes2012 PQRS Measure Group Getting StartedPQRS Claims and Registry Individual Measure Specification Manual and Release Notes
2012 PQRS Measure Group Specifications
2012 PQRS Measure Group Release Notes
2012 PQRS Measure Group Single Source Code Master
2012 PQRS Individual Measure SpecificationsPQRS Measure Applicability Validation Documents
2012 PQRS Individual Measure Release Notes
2012 PQRS Individual Measure Single Source Code Master
2012 Quality Data Code Categories
2012 PQRS MAV Process for Claims Based Reporting
2012 PQRS MAV Process for Claims Based Reporting Flow Chart
2012 PQRS MAV Process for Claims Based Reporting Release Notes
2012 PQRS CMS-Claims 1500 Example
2012 PQRS Flowsheets COMING SOON
Registry-Based Reporting Information
PQRS Claims and Registry Measure Group Specification Manual and Release Notes
2012 PQRS Measure Group Getting StartedPQRS Claims and Registry Individual Measure Specification Manual and Release Notes
2012 PQRS Measure Group Specifications
2012 PQRS Measure Group Release Notes
2012 PQRS Measure Group Singe Source Code Master
2012 PQRS Individual Measure Specifications
2012 PQRS Individual Measure Release Notes
2012 PQRS Individual Measure Single Source Code Master
2012 Quality Data Code Categories
2012 Qualified PQRS Registries COMING SOON
Electronic Health Record Reporting Information
PQRS EHR Measure Specification and Release Notes
2012 EHR Measure Specifications2012 EHR Measure Specifications Release Notes
2012 EHR Based Reporting Measures under the PQRS
2012 PQRS EHR Downloadable Resource Table
2012 PQRS Downloadable Resource Table Release Notes
Group Practice Reporting Option (GPRO) Information
PQRS 2012 GPRO Reporting OverviewPQRS GPRO Measure Specification and Release Notes:
PQRS 2012 GPRO Requirements
PQRS 2012 GPRO Measure List
2012 PQRS Measure Narrative Specification
2012 PQRS Measure Specification Release Notes
Regulatory
PQRS-Related Final Rules
2012 Medicare Physician Fee Schedule (MPFS) Final RuleACS Comment Letters
2011 Medicare Physician Fee Schedule (MPFS) Final Rule
2010 Medicare Physician Fee Schedule (MPFS) Final Rule
2012 ACS Comment Letter to MPFS Final RuleCMS PQRS Experience Reports
2011 ACS Comment Letter to MPFS Final Rule
2010 ACS Comment Letter to MPFS Final Rule
2009 PQRS Experience Report
2007 PQRS Experience Report
Additional Resources:
CMS QualityNetCMS QualityNet Help Desk (1-866-288-8912)
Email: qnetsupport@sdps.org For further information, please contact Sana Gokak at sgokak@facs.org.
Revised May 15, 2012