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2012 Physician Quality Reporting System Educational Products Are Now Available!

 2012 Physician Quality Reporting System Educational Products Are Now Available!

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the posting of 2012 Physician Quality Reporting System educational products at http://www.cms.gov/PQRS on the CMS website. 
 
2012 Physician Quality Reporting System Measures List – this document identifies and explains the measures used in Physician Quality Reporting, including information on the reporting options/methods, measure developers and their contact.   **Please note that this document was updated and re-posted on 1/05/2012.
 
2012 Physician Quality Reporting System Quality-Data Code (QDC) Categories – a table that outlines, for each measure, each QDC that should be reported for a corresponding quality action performed by the individual eligible professional as noted in the measures specification. This determines how each code will be used when calculating performance rates. This also clarifies those measures that require two or more QDCs to report satisfactorily. Insufficiently reporting the QDCs (as specified in the 2012 Physician Quality Reporting System Measure Specifications Manual) will result in invalid reporting.
 
2012 Physician Quality Reporting System Single Source Code Master – this file includes a numerical listing of all codes included in 2012 Physician Quality Reporting for incorporation into billing software.
 
2012 Physician Quality Reporting System Measure Specifications Manual for Claims and Registry Reporting of Individual Measures – the 2012 measure specifications include codes and reporting instructions for the 210 Physician Quality Reporting System measures for claims and/or registry-based reporting.  **Please note that this document was revised and re-posted on 1/05/2012.
 
2012 Physician Quality Reporting System Measure Specification Release Notes – outlines changes from the 2011 Physician Quality Reporting System Measure Specifications Manual in the form of Release Notes.  **Please note that this document was revised and re-posted on 1/05/2012.
 
2012 Physician Quality Reporting System Implementation Guide – provides guidance about how to select measures for reporting, how to read and understand a measure, and outlines the reporting options available for 2012 Physician Quality Reporting System. The Implementation Guide also details how to implement claims-based reporting of measures to facilitate satisfactory reporting of quality-data codes by eligible professionals.
 
2012 Physician Quality Reporting System Measures Groups Specifications Manual – measures group specifications are different from those of the individual measures that form the group. Therefore, the specifications and instructions for measures group reporting are provided in a separate manual. The 2012 measures groups specifications include codes and reporting instructions for the 22 Physician quality Reporting System measures groups for claims or registry-based reporting. 
 
2012 Physician Quality Reporting Measures Groups Release Notes – this document outlines changes from the 2011 Physician Quality Reporting System Measures Groups Specifications Manual in the form of release notes. 
 
Getting Started with 2012 Physician Quality Reporting System of Measures Groups – provides guidance on implementing the 2012 Physician Quality Reporting System measures groups.
 
2012 Physician Quality Reporting Measures Groups Single Source Code Master – this file includes a numerical listing of all codes included in 2012 Physician Quality Reporting System Measures Groups for incorporation into billing software.
 
2012 Physician Quality Reporting System Measure-Applicability Validation Process for Claims-Based Reporting of Individual Measures – provides guidance for those eligible professionals who satisfactorily submit quality-data codes for fewer than three Physician Quality Reporting measures, and how the measure-applicability validation process will determine whether they should have submitted QDCs for additional measures.
 
2012 Physician Quality Reporting Measure-Applicability Validation Process Release Notes – the release notes for the changes occurring for the 2015 Physician Quality Reporting Measure-Applicability Validation Process (MAV).
 
2012 Physician Quality Reporting System Measure-Applicability Validation Process Flow – a chart that depicts the Measure-Applicability Validation Process (MAV).
Group Practice Reporting Option (GPRO) Requirements for Submission of 2012 Physician Quality Reporting System Data – provides guidance on how a group practice of over 25 eligible professionals can self-nominate to participate in GPRO for 2012 data submission.
 
2012 Physician Quality Reporting System Group Practice Reporting Option (GPRO) Measures List – a document containing a list of the 2012 Physician Quality Reporting GPRO Measures.
 
2012 Physician Quality Reporting GPRO Narrative Measure Specifications and Release Notes – this document contains descriptions of the 2012 Physician Quality Reporting GPRO measures and changes in the program since the 2011 reporting year.
 
2012 EHR Direct Vendor Qualification Requirements – provides guidance on how EHR Direct Vendors can self-nominate and qualify to submit Physician Quality Reporting System measures data for 2012.
 
2012 EHR Data Submission Vendor Qualification Requirements – provides guidance on how EHR Data Submission Vendors can self-nominate and qualify to submit Physician Quality Reporting System measures data for 2012.

2012 EHR Documents for Eligible Professionals – this zipped file contains the following:

2012 Physician Quality Reporting System EHR Measure Specifications – the detailed description of data element names and codes related to each of 51 2012 Physician Quality Reporting System quality measures available for electronic submission.
2012 Physician Quality Reporting System Physician Quality Reporting System EHR Measure Specifications – Release Notes – the corresponding release notes for the 2012 EHR Measure Specifications.
2012 EHR Downloadable Resource Table
2012 EHR Downloadable Resource Table - Release Notes
 
2012 EHR Documents for Vendors – this zipped file contains the following:
 
Data Submission Specifications Utilizing HL7 QRDA Implementation Guide Based on HL7 CDA Release 2.0
Updated EHR Data Submission Specifications Utilizing QRDA – Release Notes – release notes for Data Submission Specifications Utilizing HL7 Quality Reporting Document Architecture Based on HL7 CDA Release 2.0
2012 EHR Downloadable Resource Table
2012 EHR Downloadable Resource Table – Release Notes
Updated EHR Data Submission Specifications Utilizing QRDA Header Errors and Edits
Updated EHR Data Submission Specifications Utilizing QRDA Body Errors and Edits
2012 CMS EHR QRDA Data Submission Specifications and Errors Edits Release Notes
 
To access the 2012 Physician Quality Reporting System educational products, visit the Spotlight page at http://www.cms.gov/PQRI/02_Spotlight.asp on the CMS website for the listing of educational products and the corresponding section page where they can be found.
 
Further information on the 2012 Physician Quality Reporting System may be found in the final 2012 Medicare Physician Fee Schedule rule with comment period that was published in the Federal Register on November 28, 2011.  
 
The final rule can be found at http://www.cms.gov/PQRS/05_StatuteRegulationsProgramInstructions.asp on the CMS Physician Quality Reporting System webpage.
 

 

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