The Society of Critical Care Medicine (SCCM) has launched the PQRIwizard, a tool aimed at helping facilitate the data and reporting process associated with the Physician Quality Reporting System (PQRS). The PQRIwizard will outline 34 measures of quality reporting specific to the critical care community. These measures were selected in a collaborative process with the SCCM Advocacy Committee and SCCM leadership. The measures will serve as a valuable resource for intensive care units participating in the 2012 PQRS.
The PQRS is a voluntary reporting program providing financial incentives to physicians and other eligible practitioners who report data on quality measures for covered services furnished to Medicare beneficiaries (specifically services furnished to Medicare Part B Fee-for-Service [FFS] beneficiaries).
There are numerous reasons why physicians and other eligible healthcare providers should participate in the PRQS. In addition to the financial incentives and increased transparency for the patient, it is important that hospital administrators and practitioners prepare for the new quality reporting landscape. As more pay-forperformance measures are implemented, it is necessary that recording and reporting become routine.
Reporting Incentives and Penalties
Eligible providers who participate in the PQRS 2012 can receive an incentive payment of 1% of their total allowed charges for Physician Fee Schedule covered services. It is important that physicians, eligible healthcare providers and hospitals begin reporting data to the PQRS by January 1, 2013. Those who do not begin reporting measures by 2013 will be assessed a 1.5% penalty beginning in 2015 (based on whether they reported in 2013). All physicians who bill Medicare will need to report performance measures to CMS no later than 2013 to avoid the 2015 penalty. While the landscape of healthcare reform continues to evolve and the future is uncertain, it is highly likely that incentives and penalties will continue to emerge. SCCM has taken this step to assist providers in their efforts to make reporting more straightforward.
Why use PQRIwizard?
Many PQRS registries require that you collect data from 80% of all of your eligible Medicare patients. The PQRIwizard simplifies the process by using the measure group approach. Using the PQRIwizard, you only have to collect 30 patient visits from the entire year to complete your report. To report on any of the Individual Measures, one simply selects three measures and reports on 80% of the Medicare Part B FFS patients that apply to the measures selected. Users may enter the data into the registry by completing the online questionnaire or by uploading data from an existing electronic medical record system. PQRIwizard has a built-in Progress Monitor that checks for missing data to validate reports. The Progress Monitor tracks data to provide continuous feedback regarding valid patients. The system calculates your measures and provides a printable report of measure results in realtime.
The PQRS was established by the Centers for Medicare & Medicaid Services (CMS) in 2007, after the 2006 Tax Relief and Health Care Act called for the establishment of a physician quality reporting system, including an incentive payment for eligible professionals who satisfactorily report data on quality measure for Medicare beneficiaries.
Where do I register for the PQRIwizard?
How much does it cost?
The cost is $249 per clinician.