The Physician Quality Reporting System (PQRS) is a voluntary CMS Quality Program. The PQRS program encourages health care professionals and group practices to report information on health care practices. This may lead to better care for Medicare patients.
Health care professionals and group practices that participate in the PQRS program are given performance scores based on the quality measure information they report. This information can help health care professionals and group practices measure the care they give their patients and provide patients with the right care at the right time. Some of the quality measure performance scores are available on Physician Compare profile pages. Medicare patients can use this information to make more informed health care decisions and to choose health care professionals who are committed to providing quality care.
By reporting on PQRS quality measures, individual EPs and group practices can also quantify how often they are meeting a particular quality metric. Beginning in 2015, the program will apply a negative payment adjustment to individual EPs and PQRS group practices who did not satisfactorily report data on quality measures for Medicare Part B Physician Fee Schedule (MPFS) covered professional services in 2013. Those who report satisfactorily for the 2015 program year will avoid the 2017 PQRS negative payment adjustment.