PQRS Program Milestones

Physician Quality Reporting System Important Dates

Providers considered eligible and able to participate in the Centers for Medicare & Medicaid Services (CMS) Physician Quality Reporting System (PQRS) may be subject to a payment adjustment beginning in 2015. Eligible professionals (EPs) that do not report data on quality measures for covered professional services during the 2013 program year will be subject to a 1.5% payment adjustment beginning in 2015.

Below are important dates to guide successful participation in PQRS.

October 15, 2013

• Milestones:
  • Last day for individuals and groups participating in the Group Practice Reporting Option (GPRO) to elect to participate in the administrative claims-based reporting mechanism to avoid a payment adjustment in 2015
  • Last day for groups to register to participate in GPRO for the 2013 PQRS program year via Web Interface or registry reporting
• Helpful Resources:
  • 2013 PQRS: 2015 PQRS Payment Adjustment
  • 2013 PQRS GPRO Made Simple

December 31, 2013

• Milestone: Reporting for the 2013 PQRS program year ends for both group practices and individuals
• Helpful Resources:
  • 2013 PQRS GPRO Made Simple
  • Physician Quality Reporting System: Updates for 2013

February 28, 2014

• Milestones:
  • Last day to submit 2013 PQRS data through some reporting methods (deadline for submission of PQRS data varies by reporting method, but all methods require data to be submitted by end of first quarter in 2014)
  • Last day to submit CQMs for the PQRS-Medicare EHR Incentive Pilot Reporting Pilot Program
  • Last day that 2013 claims will be processed to be counted for PQRS reporting
• Helpful Resources:
  • 2013 PQRS: EHR Reporting Made Simple

For more information about PQRS, visit the CMS PQRS website. You can also learn about other eHealth initiatives at CMS by visiting the CMS eHealth website.