A voluntary quality reporting program that encourages eligible professionals to report information on the quality of care they provide to Medicare.

Quality Measures:

Specific metrics and indicators used in PQRS to assess and quantify the quality of healthcare services provided by physicians, often focusing on clinical outcomes, patient experience, and adherence to best practices.

Eligible Professional (EP):

Healthcare professionals, including physicians, surgeons, and other practitioners, who are eligible to participate in PQRS and report quality measures.

Reporting Period:

The designated timeframe during which eligible professionals submit data on quality measures to demonstrate compliance with PQRS requirements.

Incentive Payment:

Financial rewards provided to eligible professionals who successfully participate in PQRS and report quality measures, demonstrating a commitment to delivering high-quality healthcare.

Penalty:

Negative financial consequences imposed on eligible professionals who do not participate in PQRS or fail to meet reporting requirements, often in the form of payment reductions.

Registry Reporting:

A method of submitting quality measure data to PQRS through qualified registries, which collect and report data on behalf of eligible professionals.

Claims-Based Reporting:

The submission of quality measure data to PQRS through the standard Medicare claims process, involving reporting information on specific services provided during patient encounters.

EHR-Based Reporting:

The submission of quality measure data to PQRS directly from Electronic Health Records (EHR) systems, leveraging technology to streamline reporting processes.

Group Practice Reporting Option (GPRO):

An option within PQRS that allows eligible professionals in group practices to report quality measures collectively, consolidating data for a more comprehensive view of performance.

Performance Feedback Report:

Detailed feedback provided to eligible professionals participating in PQRS, offering insights into their performance on quality measures and highlighting areas for improvement.

Measure Group:

A set of related quality measures within PQRS that allows eligible professionals to report on a broader aspect of care, particularly useful for those with a specific patient population or medical focus.