Physician Quality Reporting System

2016 PQRS Reporting

The PINNACLE Registry and the Diabetes Collaborative Registry have jointly self-nominated as a Qualified Clinical Data Registry for the 2016 Physician Quality Reporting System (PQRS) Program Year.

As a Qualified Clinical Data Registry, the PINNACLE Registry and the Diabetes Collaborative Registry will continue to offer PQRS submission to the Centers for Medicare and Medicaid Services (CMS) as a benefit to practices currently submitting data from most electronic health record (EHR) systems.

Last year, the Department of Health and Human Services’ (HHS) announced that by this year, 85 percent of Medicare’s fee-for-service payments to hospitals, physicians and other providers will be tied to quality and value rather than volume using quality improvement programs such as PQRS. Now a penalty-based program, PQRS imposes a negative adjustment on future payments of providers who fail to successfully report quality measures. With the focus now on quality and value, HHS is expecting to improve patient care through greater health care integration, better coordination of care for patients with chronic conditions, and a focus on population health.

The ACC has been able to align these HHS priorities within our Qualified Clinical Data Registry.  In 2016 the PINNACLE and the Diabetes Collaborative Registries will report 16 measures covering four domains of the National Quality Strategy for the PQRS program.

Click here for the list of PQRS measures reported in 2016.

In 2016 the QCDR will report 6 non-PQRS measures. Click here for the CMS-approved non-PQRS measure specifications.

This year’s participants were able to use the many benefits of reporting via the Qualified Clinical Data Registry (QCDR) including:

  • Greater potential to report nine measures across three domains. The QCDR is an easy way to meet this requirement especially with increasing strictness using other reporting mechanisms
  • Ability to participate in PQRS and focus on quality improvement.
  • Improve outcomes under the Value Modifier program. Performance scores are easier to monitor through the QCDR. 
  • Frequent feedback and monitoring: Participants receive monthly benchmarking reports that include national benchmarks for comparison purposes.

Providers will be able to report via Individual Reporting or the Group Practice Reporting Option (GPRO) for 2016.

Group Practice Reporting Option (GRPO) 

GRPO reporting enables a group of two or more providers, as identified by a common tax ID or "TIN", to aggregate their PQRS measure data into a single set of group practice-level measures to submit to CMS, rather than reporting providers individually.

Practices must self nominate for GRPO using CMS interface. ACC cannot nominate practices for GPRO. Registration is now open until June 30, 2016. Once your practice has registered for GRPO you will not be able to report individual clinical level measures for PQRS.

The Registration System can be accessed using a valid Enterprise Identify Management (EIDM) account. Instructions for obtaining an EIDM account with the correct role are provided on the PQRS GPRO Registration web page. Instructions for registering to participate in the 2016 PQRS GPRO are provided in the 2016 PQRS GPRO Registration Guide. Be sure to select ''Qualified Clinical Data Registry (QCDR)" as a group practice as the PQRS group reporting mechanism for 2016. Additional support for GPRO Registration is available via the QualityNet Help Desk.

Lastly, if your practice plans on reporting for PQRS through another CMS program such as the Medicare Shared Savings Program, Comprehensive Primary Care Initiative, or Pioneer Accountable Care Organizations, ACC will not be able to submit PQRS data for your practice.

If you have any questions regarding PQRS, please contact the PINNACLE Registry Support Team at 800-257-4737 or
ncdr@acc.org

For more information on PQRS reporting through the QCDR, click here.


2015 PQRS Status

ACC successfully submitted Physician Quality Reporting System (PQRS) performance data on behalf of nearly 1,300 providers this year including 25 new practices using ACC to report PQRS for the first time. In 2015 providers had the option to report up to 14 measures, including 3 outcomes measures, covering three National Quality Strategy domains: Effective Clinical Care, Communication and Care-Coordination, and Community and Population Health. Over the next few months CMS will review the submitted data and make determinations as to whether providers satisfactorily met the PQRS requirements. PQRS data submitted in 2015 will also be used to calculate the 2017 value-based payment modifier for all solo practitioners and group practices of two or more eligible providers.

If you opted to report through one of these registries, we will communicate any updates via the newsletter and supplemental email communications. If you have any questions on your submission, please email ncdr@acc.org.

For more information:

  • If you have questions about the Outpatient Registries and participating in PQRS, contact the Registry Support Team at (800) 257-4737 or ncdr@acc.org
  • You can also access our frequently asked questions for the outpatient registries and 2016 PQRS Reporting.
  • For more information about PQRS and how to get started please visit CMS.gov.
  • If you have an inquiry regarding the Physician Quality Reporitng System (PQRS) and related topics, including, but not limited to, reporting requirements, negative payment adjustments, feedback reports, and Individuals Authorized Access to the CMS Enterprise Identity Management system (EIDM) registration, please call the QualityNet HelpDesk. Available Monday - Friday 7:00 a.m. - 7:00 p.m. Central Time (CT) by phone 1-866-288-8912, or email at Qnetsupport@hcqis.org.
  • 2016 PQRS Reporting Deadlines.
  • 2015 PQRS Performance ​Information

Learn more about the PQRS program on ACC.org/PQRS.