1. 2014 REPORTING TO AVOID PENALTIES IN 2016 PQRS Presented by: Marcy Le

2.  PQRS (Physician Quality Reporting System) was formerly know as PQRI (Physician Quality Reporting Initiative)  PQRI was introduced by CMS in 2007  Notice this was an initiative then they decided to keep it around so they received additional funding and it was renamed to PQRS  PQRS is NOT going away anytime soon!!!  PQRS is per provider NOT per practice PQRS FACTS

3. HOW HAS STI BEEN EDUCATING OFFICES ABOUT PQRS?  At our User Group Meeting for the past 2-3 years we covered this  STI University offered >25 free PQRS webinars  PQRS information was placed in client newsletters  We have a PQRS page on our website REMINDER: CMS has also been publicizing this information since 2006

4. PQRS PENALTY & INCENTIVE PER CALENDAR YEAR  2007-2012 incentive  2013 incentive AND penalty (1 st year of penalty phase)  2014 incentive AND penalty (last year incentive is offered)  2015, 2016, 2017, 2018……penalty (beginning at 1.5% based on 2013 participation and increasing.5% based on 2014 participation for a total of 2%)

5. 1.5% PAYMENT REDUCTION LETTER RECEIVED If you believe the letter was received in error you can appeal (The instructions for this are within the letter that you have received. STI has nothing to do with this appeal process. This is between your office and CMS.) It is not too late to participate for 2014 to avoid additional payment reductions * follow the instructions outlined in the CMS letter NOW WHAT?

6. GOOD NEWS THE 1.5% PENALTY WILL GO AWAY IF YOU “SUCCESSFULLY” PARTICIPATE IN 2014

7. BAD NEWS THE 1.5% PENALTY WILL GO TO 2% IF YOU DO NOT PARTICIPATE IN 2014

8. Several Options for Reporting PQRS We are only discussing 1option today; group reporting through a 3 rd party registry *Covisint is a registry that many offices have used *Providers who belong to a medical society can ask what PQRS registry they recommend

9. HOW DO YOU FIND A REGISTRY? (google PQRS group reporting) Below is Covisint home page as example

10. 25 Measure Groups

11. Each Measure Group Lists the associated diagnosis and CPT codes that are applicable Diabetes Measure Group Example

12. Example: Diabetes Measure Group

13. CHECK THE STATUS OF PQRS DATA SUBMISSION https://www.qualitynet.org/portal/server.pt/c ommunity/pqri_home/212 Log into the portal and view your providers confidential PQRS report.

14. Links to CMS documents from www.sticomputer.comwww.sticomputer.com

15. QualityNet Help Desk is where all questions should be directed  1-866-288-8912  7:00 a.m. – 7:00 p.m. Monday-Friday (CST)  qnetsupport@sdps.org qnetsupport@sdps.org NOTE: This document is provided for informational and educational purposes only. It is not intended nor should it be relied upon to provide regulatory or legal advice. Please review all regulatory requirements in regards to this document and consult the appropriate counsel.