American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Physician Quality Reporting System

The Centers for Medicare & Medicaid Services (CMS) has continued the Physician Quality Reporting System (PQRS) since its enactment in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). PQRS was the first CMS national program to link the reporting of quality data to physician payment. There are no longer incentive payments being offered for those eligible professionals who successfully participate and the program has now moved into a penalty-only phase. Regulations for the PQRS program are updated annually in the Medicare Physician Fee Schedule (MPFS) rule.

Introduction to PQRS

Surgeon’s Guide to Understanding the Physician Quality Reporting System

Bulletin Articles about PQRS

Benefits of PQRS Participation and what the College is doing on your behalf
What surgeons should know about... PQRS reporting in 2014
Update: PQRS reporting of the perioperative care measures group
What surgeons should know about... PQRS reporting in 2013

PQRS Eligibility Criteria

Definition of Eligible Provider

CMS PQRS Implementation Guide


PQRS Measure List


Individual Reporting Options

Surgeons can participate individually in the PQRS program through one of four methods: claims-based reporting, traditional registry-based reporting, qualified clinical data registry (QCDR)-based reporting, or electronic health records (EHR)-based reporting. 

Claims-Based Reporting Information

2015 | 2014

Traditional Registry-Based Reporting Information

2015 | 2014

QCDR-Based Reporting Information


EHR Reporting Information


Group Practice Reporting Option (GPRO) Information

Surgeons can also participate as collectively as groups through the group practice reporting option (GPRO). The methods available for the GPRO option include traditional registry, EHR, web-interface, and the certified survey vendor reporting option.

Web Interface (25+ Group Only)


Traditional Registry


Certified Survey Vendor




Federal Regulations

PQRS-Related Final Rules

2016 MPFS Final Rule
2015 MPFS Final Rule
2014 MPFS Final Rule

ACS Comment Letters

2015 ACS Comment Letter to MPFS Final Rule
2014 ACS Comment Letter to MPFS Final Rule

Additional Resources

CMS PQRS Experience Reports

2013 PQRS Experience Report
2011 PQRS Experience Report
2010 PQRS Experience Report

CMS QualityNet
CMS QualityNet Help Desk: 1-866-288-8912

For further information, please contact Molly Peltzman at