Reporting of Individual Physician Quality Reporting System Quality

60.1 – Reporting of Individual Physician Quality Reporting System Quality Measures (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) When the Physician Quality Reporting System was first implemented in 2007, the program consisted of 74 individual quality measures, all of which were reportable via the claims-based reporting mechanism only. In 2008, CMS retired some of the 2007 measures but added new measures so that the total number of Physician Quality Reporting System individual quality measures expanded to 119. 17 The 2009 Physician Quality Reporting System included a total of 153 individual quality measures. Data on 53 of the 2009 Physician Quality Reporting System measures may only be reported through a qualified registry and may not be reported through claims-based reporting (see §50 above). The 2010 Physician Quality Reporting System includes a total of 175 individual quality measures. Data on 10 of the 2010 Physician Quality Reporting System measures may be reported via a qualified EHR product, however, two of these may not be reported through claims-based reporting. In addition, data on 50 of the 2010 Physician Quality Reporting System measures may not be reported through claims-based reporting. Such data must be reported through a qualified registry, or if the measure is 1 of the 10 measures designated for EHR reporting, via a qualified EHR product. The 2011 Physician Quality Reporting System included a total of 190 individual quality measures that may be reported via claims, registry, and/or EHR. The 2012 Physician Quality Reporting System includes a total of 224 individual quality measures that may be reported via claims, registry, and/or EHR. Note that these are some limitations as to which measures may be reported via claims, registry and/or EHR. A complete list of the individual Physician Quality Reporting System quality measures for a specific program year, as well as their detailed measure specifications and respective reporting requirements can be found on the CMS Physician Quality Reporting System website at http://www.cms.gov/PQRS. Measure specifications for the current or upcoming program year can be found on the Measures Codes page of the CMS Physician Quality Reporting System website. Measure specifications for prior program years are archived to the appropriate Physician Quality Reporting System Program page of the CMS Physician Quality Reporting System website. When measures for a particular program year are selected from a prior year’s measure set, the detailed measure specifications for such measures may have been updated or modified during the National Quality Forum endorsement process or for other reasons. The Physician Quality Reporting System quality measure specifications for any given measure selected for use in a specific program year may, therefore, be different from specifications for the same quality measure used for a prior program year. For example, the 2009 Physician Quality Reporting System specifications for a measure that was used in the 2008 Physician Quality Reporting System may be different from the 2008 Physician Quality Reporting System specifications for the same measure. Eligible professionals must ensure that they are using the published specifications for the correct program year.