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admin | Category: Reverse Phone Lookup Usa | 31.08.2014
CMS Disclaimer: “Please note, although CMS has attempted to align or adopt similar reporting requirements across programs, EPs should look to the respective quality program to ensure they satisfy the PQRS, EHR Incentive Program, Value-Based Payment Modifier (VM), etc.
Which PQRS reporting mechanism do I use if I am a solo practitioner or if I want to report as an individual provider within a group? What is Electronic Health Record (EHR) reporting and do I qualify for the EHR incentive if I use it for PQRS? What is a Qualified Clinical Data Registry (QCDR) and how does it differ from a Qualified Registry? Do CRNAs reporting as individual EPs have to participate in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS? CMS defines a “solo practitioner” as an individual provider who has a solo practice comprising a single Medicare-enrolled Tax Identification Number (TIN) with only 1 eligible professional (EP), as identified by an individual National Provider Identifier (NPI), that bills under the TIN. In order to satisfactorily report for the 2016 reporting year, it is important to review each method’s specific reporting criteria and requirements for individual EPs.


Claims-based reporting is readily accessible to individual eligible professionals (EPs) as it is a part of routine billing processes. Yet, it is still possible for individual CRNAs and their group practices to report to PQRS using their EHR systems.
To submit quality measure data from an EHR system, you need to first verify that your EHR vendor is using Certified Electronic Health Record Technology (CEHRT). A traditional “Qualified Registry” currently performs the collection and submission of PQRS quality measures data on behalf of eligible professional (EPs) and group practices. Your Registry will provide you with specific instructions on how and when to submit data for the selected measures you choose to report. When attempting to submit data, it is important that CRNAs provide their registries with the correct Tax Identification Number (TIN) and individual National Provider Identifier (NPI) combination to which Medicare Part B charges are billed.
If you are part of a group practice (that bills under a single TIN), you also have the option to report to PQRS as an individual EP (with your NPI).
However, claims is no longer a viable reporting option for CRNAs, since only 1 out of the 7 anesthesia-specific 2016 PQRS measures can be reported via claims.


This type of EHR system has the ability to generate data for PQRS reporting using specific versions of the electronic Clinical Quality Measures (eCQMs). In addition, very few eCQMs apply to anesthesia practice, which makes it unclear as to whether anesthesia professionals can successfully meet PQRS criteria for satisfactory reporting using this reporting mechanism. After selecting a Registry, you will be required to enter into and maintain an appropriate legal agreement.
According to a CMS panel discussion, CMS representatives stated that ”the MAV process does not apply for EHR reporting”; however, “as long as you can report on at least one Medicare patient on at least one measure in your EHR, you can submit zeros for the other 8 measures” to meet the 9-measure requirement. These arrangements provide for the Registry's receipt of the patient-specific data and allow the Registry to release quality measure data on behalf of CMS.




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