2014 Physician Quality Reporting System (PQRS) and QRS

1. 2014 Physician Quality Reporting System (PQRS) and QRS Scott Weinberg Specialist, Quality Care & Patient Access

2. What is PQRS? • CMS program (Medicare only) • Physician Quality Reporting System • Previously known as PQRI • Provides a financial incentive to physicians who report on best practice quality measures for the Medicare patients they treat.

3. Why Report Quality Measures? • Participants can receive a percentage (0.5% in 2014) of total allowed Medicare Part B charges for the 12-month period. • Reporting quality measures in 2014 to avoid a 2.0% penalty in 2016.

4. Who Should Participate? • All MD, DO, PA, NP, CNS, APRN who are reimbursed under the Medicare physician fee schedule. • QRS is available to members and non-physician clinicians who are supervised by AAD members.

5. How Many Quality Measures in 2014? To earn a 0.5% incentive and avoid a 2.0% payment reduction… To only avoid the payment reduction… Report at least 3 measures Report at least 50%of applicable patients for each measure for the full year Measures should cover at least 1 quality domain (done automatically, by definition) • Report at least 9 measures • Report at least 50% of applicable patients for each measure for the full year • Measures should cover at least 3 quality domains (done automatically through registry)

6. Quality Domains • Patient Safety • Person and Caregiver-Centered Experience and Outcomes • Communication and Care Coordination • Effective Clinical Care • Community/Population Health • Efficiency and Cost Reduction

7. 5 Dermatology-Specific Measures (registry only) • Measure #137 — Melanoma: Continuity of Care — Recall System • Measure #138 — Melanoma: Coordination of Care • Measure #224 — Melanoma: Overutilization of Imaging Studies • Measure #265 — Biopsy Follow-Up • Measure #337 — Tuberculosis Prevention for Psoriasis and Psoriatic Arthritis Patients on a Biological Immune Response Modifier

8. 8 Dermatology-Applicable Measures (included in AAD registry) • Measure #130 — Documentation of Current Medications in the Medical Record • Measure #131 — Pain Assessment and Follow-Up • Measure #173 — Preventive Care and Screening: Unhealthy Alcohol Use – Screening • Measure #194 — Oncology: Cancer Stage Documented • Measure #205 — HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia and Gonorrhea • Measure #226 — Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention • Measure #245 — Chronic Wound Care: Use of Wound Surface Culture Technique in Patients with Chronic Skin Ulcers (Overuse Measure) • Measure #246 — Chronic Wound Care: Use of Wet to Dry Dressings in Patients with Chronic Skin Ulcers (Overuse Measure)

9. Measures with Large Denominators • Measure #130 — Documentation of Current Medications in the Medical Record • Measure #131 — Pain Assessment and Follow-Up • Measure #173 — Preventive Care and Screening: Unhealthy Alcohol Use – Screening • Measure #226 — Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

10. QRS (AAD Qualified Registry) www.AAD.org/QRS

11. Choosing a Filing Type

12. Selecting Your Measures

13. Dashboard

14. User Profile

15. TIN & NPI

16. Chart Abstraction

17. Patient Visit Review

18. Validation

19. Important for Successfully Reporting • Have one eligible instance for each measure • Report at least 50% of applicable patients/visits for each measure • No measure can have 0% performance • If reporting 9 measures, select across 3 quality domains (automated in QRS) • Enter your NPI and TIN correctly into the module

20. 2014 QRS Timeline

21. Questions? • Current QRS users: QRSSupport@healthmonix.com • General PQRS Questions: sweinberg@aad.org • CMS QualityNet Help Desk: qnetsupport@hcqis.org • AAD Member Resource Center: 866-503-7546 • Visit www.aad.org/QRS to: • Purchase the AAD QRS Registry • View online tutorials FAQ sheets • See coding specifications for reporting these measures • Latest information