EHR-based PQRS Reporting: The Preferred PQRS Reporting Method

Started in 2007 with the creation of the Physician Quality Reporting Initiative (PQRI), quality reporting has evolved over the past several years. Made permanent in 2008 under the Medicare Improvements for Patients & Providers Act (MIPPA) and subsequently renamed the Physician Quality Reporting System (PQRS) in 2011, PQRS affords physicians the opportunity to earn incentives in addition to Meaningful Use funds. Providers can participate in PQRS through one of three ways—claims-based reporting, registry-based reporting or  EHR-based reporting.

EHR-based reporting is the CMS preferred method over claims-based and registry-based reporting. EHR-based reporting supports 51 measures including all 44 Stage 1 meaningful use CQMs and offers two submission options. Eligible providers can use either of the two options to participate in PQRS or in the PQRS Medicare EHR Incenctive Program.

Direct-EHR reporting allows EPs to submit CQMs directly from the EHR. This requires an EHR capable of submitting EHR-derived data directly to CMS (EHR Direct). EHR data submission vendor reporting allows the EHR vendor to submit the data on the EPs behalf. This requires a qualified EHR data submission vendor.