College of American Pathologists
CAP Committees & Leadership CAP Calendar of Events Estore CAP Media Center CAP Foundation
 
About CAP    Career Center    Contact Us      
Search: Search
  [Advanced Search]  
 
CAP Home CAP Advocacy CAP Reference Resources and Publications CAP Education Programs CAP Accreditation and Laboratory Improvement CAP Members
CAP Home > CAP Advocacy > Physician Quality Reporting System Resource Center

  Physician Quality Reporting
  System Resource Center

title
 

Updated April 24, 2014

Background

The Physician Quality Reporting System (PQRS) program is a voluntary reporting program that rewards physicians who successfully report data on quality measures to the Centers for Medicare and Medicaid Services (CMS). Physicians who do not participate in the program going forward are at risk for penalties applied to their Medicare Part B reimbursement.

The College of American Pathologists (CAP) and its Council on Government and Professional Affairs have dedicated considerable resources to enable pathologists to successfully participate in the program.

Measures Development

The CAP’s measure development efforts have focused on ensuring that members can benefit from public and private pay-for-performance programs.

Currently, five CAP-developed pathology measures exist in the 2013 PQRS. The CAP developed three additional measures in 2012 and currently, they are under consideration by CMS for inclusion in the 2015 PQRS. The CAP is committed to the continued development and maintenance of these measures for the benefit of CAP members.

Overview and Pathology Measures included in the 2014 PQRS (PDF, 424 K)

The CAP Resources

How to Participate in PQRS

Pathologists have several options for participating in PQRS. Your options depend on how you bill, the size of your practice, and whether your practice’s members want to report individually or as a group. The decision flow charts will help you determine which option is right for you.

Decision Flow Charts for 2014 PQRS Participation

Advocacy

The CAP advocates on behalf of pathologists regarding their options for PQRS reporting. While the CAP has created eight PQRS measures for pathologists, five of these measures are in the current PQRS program. CMS continues to raise the bar. In 2014, most specialties must report on a minimum of nine measures. But the CMS has assured the CAP—in writing—that pathologists who have fewer than nine measures will only need to report on applicable measures, and pathologists with no applicable measures will not face PQRS penalties in either 2015 or 2016.

Education

The CAP has created a number of resources to help pathologists navigate the rules for PQRS, understand their options for reporting, and successfully report measures.

Webinars

CAP Today Articles

Statline Articles

Related Resources

Centers for Medicaid and Medicare Services (CMS)

Federal Registry Resources

  • CMS Qualified Registries for the 2014 PQRS (PDF, 400 KB)
    Note: Please use 2013 registry list as a guide for potential registries; CMS will publish the official list of 2014 Qualified Registries in the summer of 2014.
 
       
 
 © 2014 College of American Pathologists. All rights reserved. | Terms and Conditions | CAP ConnectFollow Us on FacebookFollow Us on LinkedInFollow Us on TwitterFollow Us on YouTubeFollow Us on FlickrSubscribe to a CAP RSS Feed