Criteria for Determination of Satisfactory Reporting of Individual

70.1.3 – Criteria for Determination of Satisfactory Reporting of Individual Measures for EHR-based Reporting (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) Beginning with the 2010 Physician Quality Reporting System, an individual eligible professional who chooses to report on individual Physician Quality Reporting System quality measures rather than measures groups has the additional option of reporting on the individual Physician Quality Reporting System quality measures via a qualified EHR product in lieu of submitting the quality measures data on claims or via a qualified registry (see §50). For 2010 and 2011, the criteria for determining whether an eligible professional satisfactorily reports data on individual Physician Quality Reporting System quality measures for reporting via an EHR was identical to the criteria for satisfactory reporting of individual Physician Quality Reporting System quality measures via a qualified registry. However, there was only one reporting period available for EHR-based reporting of individual measures: the 12-month 30 reporting period beginning January 1st. Consequently, there is only one reporting option for EHR-based reporting of individual measures for the 2010 and 2011 Physician Quality Reporting System. To qualify to earn a 2010 and 2011 Physician Quality Reporting System incentive payment through EHR-based reporting of individual measures, each eligible professional must meet the following criteria for satisfactory reporting: • Report at least 3 individual Physician Quality Reporting System measures; and • Report each measure on at least 80 % of the Medicare Part B FFS patients to whom the measure applies. The following changes to the EHR-based reporting option were introduced for the 2012 Physician Quality Reporting System: (1) allowing EHR-based reporting via a qualified direct EHR product or a qualified EHR data submission vendor, and (2) adding criteria under EHR- based reporting that are identical to the criteria for meeting the clinical quality measure objective of achieving meaningful use under the Medicare EHR Incentive Program. The reporting options for satisfactory reporting via the EHR-based reporting mechanism in 2012 are summarized in Table 5 below. Table 5: Criteria for Satisfactory Reporting of Individual Measures through EHR 31 Reporting Mechanism Reporting Criteria Reporting Period Qualified Direct EHR Product • Report at least 3 individual Physician Quality Reporting System EHR measures; and • Report each measure on at least 80 % of the Medicare Part B FFS patients to whom the measure applies. • Measures within a measures group with a zero percent performance rate will not be counted. January 1, 2012 – December 31, 2012 Qualified EHR Data Submission Vendor • Report at least 3 individual Physician Quality Reporting System EHR measures; and • Report each measure on at least 80 % of the Medicare Part B FFS patients to whom the measure applies. • Measures within a measures group with a zero percent performance rate will not be counted. January 1, 2012 – December 31, 2012 Direct EHR Technology that is both “qualified” for the Physician Quality Reporting System and Certified EHR Technology • Report on ALL three Medicare EHR Incentive Program core measures. • If the denominator for one or more of the Medicare EHR Incentive Program core measures is zero, report on up to three Medicare EHR Incentive Program alternate core measures; and • Report on three (of the 38) additional measures available for the Medicare EHR Incentive Program. January 1, 2012 – December 31, 2012 EHR Data Submission Vendor Technology that is both “qualified” for the Physician Quality Reporting System and Certified EHR Technology • Report on ALL three Medicare EHR Incentive Program core measures. • If the denominator for one or more of the Medicare EHR Incentive Program core measures is zero, report on up to three Medicare EHR Incentive Program alternate core measures; and • Report on three (of the 38) additional measures available for the Medicare EHR Incentive Program. January 1, 2012 – December 31, 2012