Individual Reporting Options


Eligible professionals who choose to report as an individual provider have several reporting methods to choose from.

1. Individual Measures via Qualified Registry
Report at least nine measures, covering at least three of the NQS domains AND report each measure for at least 50% of the EP's Medicare Part B FFS patients seen during the reporting period to which the measure applies.
• Of the measures reported, if the eligible professional sees at least one Medicare patient in a face-to-face encounter, the eligible professional will report on at least one measure contained in the cross-cutting measure set.
• EPs who submit quality data for only one to eight PQRS measures covering three NQS domains for at least 50% of the EP’s Medicare Part B FFS patients OR who submit data for nine or more PQRS measures covering less than three domains for at least 50% of the EP’s Medicare Part B FFS patients eligible for each measure will be subject to Measure-Applicability Validation (MAV). Measures with a 0 percent performance rate would not be counted.
• Find individual measures available for registry reporting here.
• Review a list of measures available for registry reporting and applicable to A/I (coming soon).
• Review a list of qualified registries here (coming soon) and CMS’ Registry Reporting Made Simple Guide.

2. Individual Measures via Claims
• Report at least nine measures, covering at least three of the NQS domains AND report each measure for at least 50% of the eligible professional's Medicare Part B FFS patients seen during the 2015 reporting period to which the measure applies.
• Of the measures reported, if the eligible professional sees at least one Medicare patient in a face-to-face encounter, the eligible professional will report on at least one measure contained in the proposed cross-cutting measure set.
• EPs who submit quality data for only one to eight PQRS measures covering three NQS domains for at least 50% of the EP’s Medicare Part B FFS patients OR who submit data for nine or more PQRS measures covering less than three domains for at least 50% of the EP’s Medicare Part B FFS patients eligible for each measure will be subject to Measure-Applicability Validation (MAV). Measures with a 0 percent performance rate would not be counted.
• Find individual measures available for claims-based reporting and additional resources in the CMS site here.

3. Measures Groups via Qualified Registry
• Report at least one measures group AND report each measures group for at least 20 patients, the majority (11 patients) of which are required to be Medicare Part B FFS patients. Measures groups containing a measure with a 0 percent performance rate will not be counted.
• For this reporting option, EPs should use the 2016 Physician Quality Reporting System (PQRS) Measures Groups Specifications Manual.
• Interested in reporting a measures group? Review the asthma and sinusitis measures group flows to learn more about how to report these measures groups.

4. Individual Measures via Direct EHR product or EHR Data Submission Product Vendor that are Certified Electronic Health Record Technology (CEHRT)
• Report nine measures covering at least three of the NQS domains.
• If an eligible professional's direct EHR product or EHR data submission vendor product does not contain patient data for at least 9 measures covering at least 3 domains, then the eligible professional would be required to report all of the measures for which there is Medicare Product patient data. An eligible professional would be required to report on at least 1 measure for which there is Medicare patient data. EPs will be subject to the will be subject to Measure-Applicability Validation (MAV) process.
• The criteria for satisfactory reporting under PQRS using an EHR are aligned with the Medicare EHR Incentive Program. Satisfactory reporting of PQRS EHR quality measures will allow EPs and PQRS group practices to qualify for the clinical quality measures (CQM) component of Meaningful Use.
• Contact your EHR provider to determine which electronic clinic quality measures (eCQMs) are available for reporting. Measures with eCQM specifications can be found on the eCQM Library webpage on CMS’ website.

5. Individual PQRS or Non-PQRS Measures via Qualified Clinical Data Registry
• Report at least nine measures available for reporting under a QCDR covering at least three of the NQS domains, AND report each measure for at least 50% of the eligible professional's patients (ie: across all payers, Medicare and Non-Medicare). Of these measures, the eligible professional would report on at least two outcome measures, OR, if 2 outcomes measures are not available, report on at least 1 outcome measures and at least 1 of the following types of measures - resource use, patient experience of care, efficiency/appropriate use, or patient safety.
• Learn more about the AAAAI Quality Clinical Data Registry in Collaboration with CECity here and on the AAAAI’s website here.
Review the AAAAI QCDR measure specifications.

Close-up of pine tree branches in Winter Close-up of pine tree branches in Winter