PQRS Reporting made simple:
1. Call our toll free number 888.666.2904 or complete the contact form to set up a preliminary needs assessment
2. Our Data Specialists will walk you through a Measure Determination to select the right measures for your practice given the data you are capturing
3. We work with your IT resources to define the Collection Plan
4. We validate your data and send your information on to CMS
PQRS Basics:
1. Report 50% of eligible patient visits for each
2. Select nine Individual Measures Covering three NQS domains
3. At least one of the nine selected measures must be an Outcome measure
4. Must meet numerator requirements at least once for each selected measure
Domain 1 - Communication and Care Coordination
PQRS Measure #
46: Medication Reconciliation*
131: Pain Assessment and Follow-up
155: Falls: Follow-up Plan (#154 and 155 must be reported together)*
350: Total Knee Replacement: Shared Decision-Making: Trial of Conservative (Non-surgical) Therapy
Domain 2 - Community/Population Health
PQRS Measure #
110: Preventive Care and Screening: Influenza Immunization *
111: Pneumonia Vaccine *
128: Screening for BMI and Follow-up Plan*
226: Tobacco Use: Screening and Cessation Intervention *
317: Preventive Screening for High B.P. and Follow-up
431: Preventive Care and Screening: Unhealthy Alcohol Use*
Domain 3 - Effective Clinical Care
PQRS Measure #
32: Stroke and Stroke Rehab: Discharged on Antithrombotic Therapy
39: Screening or therapy for osteoporosis for women aged >65 years
Domain 4 - Efficiency and Cost Reduction (eCQM)
PQRS Measure #
312: Use of Imaging Studies for Low Back Pain
Domain 5 - Patient Safety
PQRS Measure #
21: Selection of Prophylactic Antibiotic – 1st OR 2nd Generation Cephalosporin
22: Discontinuation of Prophylactic Parenteral Antibiotic
23: Venous Thromboembolism (VTE) Prophlyaxis
130: Documentation of Current Medications in the Medical Record
154: Falls Risk Assessment (#154 and #155 must be reported together)
318: Falls: Screening for Fall Risk
238: Use of High Risk Medications in the Elderly
351: Total Knee Replacement: Venous Thromboembolic and Cardiovascular Risk Evaluation
352: Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet
353: Total Knee Replacement: Identification of Implanted Prosthesis in Operative Report
Domain 6 - Person and Caregiver Centered Experience and Outcomes
PQRS Measure #
109: OA Function and pain assessment
358: Patient-centered Surgical Risk Assessment and Communication
375: Functional Status Assessment for Knee Replacement
376: Functional Status Assessment for Hip Replacement
Specifically For Physical and Occupational Therapy Colleagues:
PQRS Measure #
126: Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation Effective Clinical Care
127: Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear Effective Clinical Care
134: Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan: Community/Population Health
182: Functional Outcome Assessment * Communication and Care Coordination
217: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Knee Impairments Communication and Care Coordination
218: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Hip Impairments Communication and Care Coordination
219: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lower Leg, Foot or Ankle Impairments Communication and Care Coordination
220: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Lumbar Spine Impairments Communication and Care Coordination
221: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Shoulder Impairments Communication and Care Coordination
222: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Elbow, Wrist or Hand Impairments Communication and Care Coordination
223: Functional Deficit: Change in Risk-Adjusted Functional Status for Patients with Neck, Cranium, Mandible, Thoracic Spine, Ribs, or Other General Orthopedic Impairments Communication and Care Coordination