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ANNOUNCEMENT: The AQI National Anesthesia Clinical Outcomes Registry (NACOR) has been approved as a Qualified Clinical Data Registry (QCDR) for PQRS 2014.  Review this document for more information on QCDR satisfactory reporting. For more information on the NACOR QCDR, click here.

The Centers for Medicare and Medicaid Services (CMS) Physician Quality Reporting System (PQRS) is a reporting program that currently uses both incentive payment (bonus) and payment adjustments (penalty) to encourage physicians to submit quality information to CMS.  The incentives and adjustments are based on payments covered for Physician Fee Schedule services furnished to Medicare Part B Fee-for-Service beneficiaries.

Calendar year 2014 is the last year for the PQRS incentive.  In 2015 and beyond, there is potential to obtain an incentive under the Physician Value Based Payment Modifier (VM) program.

Please note: To use AQI for QCDR reporting you MUST be reporting on 1 outcome measure.

2014 PQRS and Physician Value Based Payment Modifer (VM) Changes

The Centers for Medicare and Medicaid Physician Fee Schedule Final Rule Includes many changes that will apply to anesthesiologists in 2014.  Most significantly, there are increased reporting requirements in order to gain the PQRS incentive and to avoid the penalty, but new reporting methods are also available that offer additional measure reporting opportunites. Individuals can now meet PQRS requirements by satisfactorily participating in a CMS Qualified Clinical Data Registry (QCDR), such as the AQI NACOR. In the Value Modifier program, CMS has finalized that groups of 10 or more eligible professionals will be affected by the VM in 2016 based on 2014 reporting.


Beginning in 2014, in addition to the number of measures that an EP or group is required to report, there is also a requirement to report measures covering at least 3 National Quality Strategy domains for incentive purposes.  The domains associated with the measures are as follows:

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

PQRS reporting for Measures Groups

  • An eligible professional may choose to report one or more measures groups, but only through registry-based reporting.
  • Data for measures groups should be submitted for ≥ 20 patients, with the majority (at least 11) Medicare Part B FFS patients.
  • All measures in the group must be reported if applicable to patient cases.
  • Two reporting periods are available for measures group reporting:
6 months*

July 1-December 31, 2014

12 months January 1-December 31, 2014
  • All applicable measures within a measure group must be reported during the reporting period.  0% performance rates on any measures within a measures group will not be counted toward satisfactory reporting.

For more information on 2014 PQRS reporting, follow the "2014 Physician Quality Reporting System" link below.

On April 7, 2014 ASA launched an informative webcast designed to assist ASA members in understanding their responsibilities under the Physician Quality Reporting System (PQRS).   In under an hour, members can learn about new Physician Quality Reporting System (PQRS) requirements under the 2014 Physician Fee Schedule, including new reporting requirements, new group reporting options, and the Quality Clinical Data Registry (QCDR). 

The webcast is broken up into five chapters.  Members who are PQRS novices can watch the entire webcast and learn about their options, and members who are already familiar with PQRS can focus on specific issues.  The five chapters cover introductory information, individual reporting requirements, group reporting requirements, a glossary and additional resources.  Please check out the webcast and do not hesitate to contact QRA with any additional PQRS questions.

Introduction to PQRS-Chapter 1

Individual reporting options-Chapter 2

Group reporting options-Chapter 3

Concluding information and resources-Chapter 4

Glossary-Chapter 5

Webcast script (PDF)

PDF version of webcast


2014 Physician Quality Reporting System (PQRS)

2014 AQI QCDR Measure Specification

2014 PQRS Validation of Successful Reporting

Maintenance of Certification Program Incentive

The Affordable Care Act requires CMS to provide an option for physicians to report data on quality measures through a maintenance of Certification Program operated by a specialty body by the American Board of Medical Specialties.





©2014 AQI

The information on this page created by AQI is copyrighted.  If you would like to use any of this information please contact Ashley Kieta.

2014 AQI PQRS Resources:

QCDR reporting requirements for AQI

QCDR Option Becomes a Reality for Anesthesiologists- July 2014 ASA NEWSLETTER

QCDR approved measures including non-PQRS measures

AQI non-PQRS measures narrative

What is QCDR and how to participate with through AQI

The qualified clinical data registry-what it means to anesthesiology

NACOR earns QCDR CMS designation—Comments from Dr. Fitch, 2014 ASA President

Value-based Payment Modifier

QCDR Overview-Annual Meeting presentation

PQRS/QCDR Introduction to NACOR-Powerpoint Presentation


2014 CMS PQRS Resources:

PQRS - What's New for 2014

Self-Nomination to Report PQRS measures as a GPRO

Participating in PQRS in 2014—CMS eHealth webinar

Webinar presentations CMS eHealth

CMS PQRS timeline

CMS PQRS website

2014 claims/registry measures specifications manual

2014 claims/registry measures specifications manual release notes

2014 PQRS measures group specifications manual

CMS-qualified registries for PQRS reporting

2014 qualified clinical data registry made simple

Reporting once for 2014 Medicare quality reporting programs

Who are eligible professionals (EPs)?