As Medicare moves away from fee for service and searches for a quality based payment model, so evolves the Physician Quality Reporting System (PQRS).
As Medicare moves away from fee for service and searches for a quality based payment model, so evolves the Physician Quality Reporting System (PQRS). The biggest change for 2014 is the increased reporting requirement from three measures to nine measures, when available. There is also an obvious shift away from claims-based reporting to registry-based reporting. The new measure group for radiology, Optimizing Patient Exposure to Ionizing Radiation Measures Group, is only reportable through a registry. The threshold for successful reporting for registry-based measures has also been decreased from 80% to 50%.
What is the difference in claims and registry-based reporting? Claims-based reporting is done by simply adding a category II code to a claim and is tracked by Medicare. Registry-based reporting is reported through a Medicare approved provider at a cost to the practice. Medicare is steering the program in this direction by limiting reporting options to the registry method.
To learn more about participating registries, click here