PQRS

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PQRS

The Physician Quality Reporting System, PQRS, is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals (EPs). Under PQRS, covered professional services are those paid under or based on the Medicare Physician Fee Schedule (PFS). To the extent that eligible professionals are providing services which get paid under or based on the PFS, those services are eligible for PQRS incentive payments and/or payment adjustments.

 

The Kansas Hospital Association is working with the Kansas Healthcare Collaborative, the Kansas Medical Society and the Kansas Foundation for Medical Care to gather resources for providers to facilitate participation in PQRS and avoid penalties. Some reference materials are listed below:

PQRS 2016 Payment Adjustment Notification Letters

CMS PQRS Timeline

2015 PQRS Payment Adjustment and Providers who Rendered Services at RHCs/FQHCs 

2014 PQRS Preparation Information & Checklist

MLN Connects National Provider Call on PQRS September, 2014

PQRS Incentive Eligibility and Negative Payment Adjustment Review

PQRS 2015 Payment Adjustment Quick Reference Guide

PQRS and Part-B services at RHCs, FQHCs, and CAHS

2015 Physician Quality Reporting System Qualified Clinical Data Registries

 

Other Resources:

DTA Associates

Minnesota Community Measurement

KPN Health Toolkit

California Institute for Behavioral Health Solutions PQRS Resource

 


It is important for hospital boards to understand what types of services patients in their region are seeking and where those patients are going for care. Please join KHA for a Noon Briefing on Friday, June 30, where Sally Othmer, senior director of data and quality, will explore how to use generated reports from the Analytic Advantage Plus website to support strategic market-share decisions by identifying trends in both inpatient and outpatient activity.
The Kansas Hospital Association is hosting a three-part management development webinar series that will take place over several months. This webinar series will provide new and more experienced managers with the nuts and bolts of management.
For more information regarding the KHA Leadership Institute, contact the KHA Education Department at cmadden@kha-net.org or (785) 233-7436.
For more information regarding this program, contact Tish Hollingsworth or Dee Lewis at (785) 233-7436.
The Kansas Hospital Association is hosting a three-part management development webinar series that will take place over several months. This webinar series will provide new and more experienced managers with the nuts and bolts of management.