Revenue Cycle Management Blog | GroupOne Health Source

How to Report Once in 2014 for Medicare Quality Reporting Programs

Written by Kaitlyn Houseman | November 14, 2014

Providers participating in the 2014 PQRS program may be eligible to report their quality data one time only to earn credit for multiple Medicare quality reporting programs.

Individual eligible professionals and group practices will be able to report once on a single set of clinical quality measures (CQMs) and satisfy some of the various requirements of several of the following programs, depending on eligibility:

  • Physician Quality Reporting System (PQRS)
  • Value-Based Payment Modifier (VM)
  • Medicare EHR Incentive Program
  • Medicare Shared Savings Program Accountable Care Organization (ACO)
  • Pioneer ACO
  • Comprehensive Primary Care Initiative (CPCI)

CMS aligned some of the reporting requirements for these programs starting in 2014 to reduce the burden of data collection. Those eligible professionals who choose to report once will reap several benefits:

  • Earn the 2014 PQRS incentive and avoid the 2016 PQRS payment adjustment. 
  • Satisfy the CQM requirements of the Medicare EHR Incentive Program. 
  • Satisfy requirements for the 2016 VM, ACO, and/or CPCI, if eligible.

Note: aligned reporting options are only available to eligible professionals beyond their first year of participation in the Medicare EHR Incentive Program.

How to Report Once
Individual eligible professionals and group practices must submit a full year (January 1- December 31, 2014) of data to receive credit for the various programs. 

The following resources will help explain how providers can report their quality data one time for 2014 participation in applicable quality programs:

2014 QRDA III SEVT Testing Available
The Submission Engine Validation Tool (SEVT) for 2014 QRDA III submission is available on the QualityNet Portal. CMS recommends QRDA submitters and certified EHR technology vendors use this tool for 2014 submission testing. For more information about CQMs visit the CQM Basics page of the EHR Incentive Programs website.