IMPORTANT HQM PQRS 2014: Submission Update

PQRS Qualified Registry Reporting Option

  • NextGen is a CMS Qualified PQRS Registry for 2014 per CMS.gov/pqrs website Registry vendor list at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Registry-Reporting.html
  • Qualified PQRS Registry reporting uses PQRS Registry measures codes included on the cms.gov/pqrs website
  • HQM submits data on behalf of clients directly to CMS via XML format
  • To request HQM PQRS Registry program you must log a ticket for PQRS 2014 specifying your reporting option: PQRS INDV, PQRS GROUP or PQRS GRPO
  • To do GPRO Registry reporting through HQM, you must have registered with CMS and have selected GPRO Qualified Registry reporting option
  • HQM existing client program request deadline for PQRS 2014 is January 30, 2015
  • HQM new client installations deadline for PQRS 2014 is January 30, 2015
  • PQRS Registry Submission ends March 20, 2015

PQRS EHR Reporting “Aligned Option”

  • NextGen is a 2014 CEHRT vendor and a PQRS EHR Reporting Data Submission Vendor
  • See CMS.gov/pqrs website for more information about the EHR Reporting option at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Electronic-Health-Record-Reporting.html
  • Through this mechanism HQM can submit a QRDA cat III file directly to CMS on clients behalf
  • EHR Reporting uses CMS CQMs, the most updated eCQMs June 2013 version (except CMS140v1) found at: http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/eCQM_Library.html
  • To request HQM PQRS EHR Reporting “Aligned Option” you must log a ticket for PQRS 2014 specifying your reporting option: EHR Reporting “Aligned”
  • To do GPRO EHR Reporting “Aligned” through HQM, you must have registered with CMS and selected GPRO EHR Reporting option
  • To use this mechanism to do “Aligned Reporting” – i.e., to report for PQRS and meet the CQM component of MU you must:
    • Use 2014 CEHRT technology to report MU (and not report MU using 2011 CEHRT using Flexibility rule!)
    • Providers must be beyond first year of MU
    • Clients must be on KBM 8.3 with submission file generated from 2014 CEHRT
    • Clients do not have to be on KBM 8.3 for full year
    • Must report Medicare only patients for a 12 month period (Jan 1, 2014 to Dec 31, 2014)
    • Must report MU objectives through another mechanism (i.e. attestation)
  • Clients may opt EHR Reporting solely for PQRS to report data for PQRS program alone – (i.e. – and elect to submit MU CQMs to the EHR Incentive Program separately)
  • HQM existing client program request deadline for PQRS 2014 is January 30, 2015
  • HQM new client installations deadline for PQRS 2014 is January 30, 2015
  • CMS EHR Reporting “Aligned” Submission ends March 20, 2015; NextGen submission deadline is March 13, 2015.

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