COMPREHENDING THE PHYSICIAN QUALITY REPORTING SYSTEM

When the Physician Quality Reporting System (PQRS) was first established in 2007, it was known as the PQRI. Its goal was to create a monetary reward system for medical practitioners who meet certain qualifications. It also sought to ensure that medical personnel were required to report any actions they took while providing patient care. The pqrs said that by reporting on a minimum of 3 individual measures on a specified group of patients, a physician can earn a bonus payment of 0.5% on all of their Medicare billing for 2013 and avoid a 1.5% payment adjustment (i.e. penalty) which would be applied in 2015 in order to encourage the doctors to report their individual measures. 2011 saw the rebranding of pqri as pqrs, or physician quality reporting system. The PQRS offers health professionals a complete method for managing their data so they can submit reports. The registry reporting technique is the approach that is used. The providers must set up a register in order to use this strategy. The cms has to authorize this registration. It would make it easier for medical practitioners to appropriately record their data. Researchers predict that practically all medical professionals will find this method appealing and useful in the years to come since it allows them to review the data and add key clinical information regarding the patient at anytime. Additionally, because the registry calculates the measures and submits performance data independently from the billing process, providers are exempt from using CPTII codes for registry reporting. advantages of the PQRS system: • Effectively record data. The registry reporting process offers many advantages, including speed and ease of use, a streamlined reporting procedure that surpasses expectations, the ability to see reporting progress prior to result submission to CMS, and the availability of all 139 measures and 22 measure groups. Lastly, in order to be eligible to receive an extra 0.5% incentive payment, healthcare providers and experts may choose the e-prescribing measure. On the other hand, nonparticipation has consequences. The American Gastroenterological Association has listed the following consequences that an individual may experience:The overall punishment is one year. 2012-1.0% no fineno fine of 1.0% 2013: 1.5% with no fineno fine of 1.5% 2014: 2.0% no fineno fine of 2.0% 2015: no fine; 1.0%; 1.5%; 2.5% No fine for 2016: 2.0%, 2.0%, 4.0% 2017no fine; 3.0%; 2.0%; 5.0%