Physician Quality Reporting System

1. Determine whether you are an eligible professional (EP). Based on the Physician Fee Schedule, EPs include physicians, practitioners and therapists.
2. Select reporting measures relevant to radiology, as listed below.
3. Decide whether you will report as an individual EP or group.
4. Select your PQRS reporting option, as listed below.
5. If you select the traditional PQRS registry reporting option, determine whether you will report individual or group measures.
6. Review the options to avoid the 2018 PQRS Payment Adjustment.

• Qualified Clinical Data Registry (for individual EPs and group practices)
• Medicare Part B Claims
• Qualified PQRS Registry (for reporting PQRS measures only)
  • MIPSWizard Qualified Registry is a CMS-approved registry powered by CECity
• Electronic Health Record

Requirements to avoid the 2018 payment adjustment (-2.0% for all eligible professionals) based on 2016 reporting are the same as those for the 2015 incentive, with several additional requirements.

Individual EPs and physician group practices can avoid penalties by doing any one of the following:

• Successfully report on nine individual measures across three National Quality Strategy domains for at least 50% of your eligible patients
  • One of the nine measures must be a cross-cutting measure, if you have face-to-face encounters
  • If you are unable to report nine measures, follow the Measures Applicability Validation Process
• Successfully report on one measure group for at least 20 eligible patients, more than 50% of whom must be Medicare beneficiaries
• Successfully participate in a Qualified Clinical Data Registry or a traditional registry