The Physician Quality Reporting System (PQRS) is a program that provides bonuses and confidential feedback for satisfactorily reporting quality measures on Medicare fee-for-service (FFS) beneficiaries. Learn more about PQRS, the Oncology Measures Group, and the ASTRO PQRSwizard - an online tool that takes the uncertainty out of participation.
If you are experiencing technical issues with the PQRSwizard, please submit a detailed message through the email support link at the bottom of the following page: https://astro.pqrswizard.com/user/support.aspx.
ASTRO encourages all members who care for Medicare Part B FFS patients to participate in this important Medicare quality reporting program. There are a number of compelling reasons that radiation oncologists should participate.
The reporting period for all methods listed above is January 1, 2016, to December 31, 2016.
The threshold for successfully reporting varies by reporting method and measures selection. ASTRO recommends participating using the Oncology Measures Group and PQRSwizard, the less burdensome reporting options.
Successful PQRS + No MOC
Successful PQRS + MOC
Radiation oncologists can participate in PQRS by reporting either individual measures or the Oncology Measures Group. ASTRO encourages members to participate in PQRS by reporting the Oncology Measures Group because it significantly reduces the burden of participation. With the Oncology Measures Group, members are only required to report on 20 unique patients, a minimum of 11 of which must be Medicare Part B fee-for-service (FFS) patients, as opposed to nine individual measures and reporting each for at least 50 percent of applicable patients.
Oncology Measures Group
The Oncology Measures Group consists of a subset of seven PQRS measures. The following measures are included in the Oncology Measures Group:
It is possible that all the measures in the Oncology Measures Group may not apply to a provider's patient population. However, a provider may still participate in PQRS using the Oncology Measures Group option even if all of the measures do not apply. Providers are only required to report on those measures which apply to their patient population and to each patient. The table below provides example patients.
130 – Current Medications
226 – Tobacco Screening and Cessation
143 – Pain Intensity Quantified
71 – Breast Cancer
72 – Stage III Colon Cancer Chemotherapy
110 – Influenza Immunization
144 – Plan of Care for Pain
Please see the Oncology Measures Group Overview for more information and specifications of the measures in the Oncology Measures Group.
Please see the Individual Measures Selection for more information on the individual measures recommended for radiation oncologists.
The 2016 PQRSwizard is now available!
The ASTRO PQRSwizard is an online tool that takes the hassle out of reporting.
The ASTRO PQRSwizard is a CMS-qualified PQRS registry. The PQRSwizard provides:
You may submit 2016 PQRS data until 5:00 p.m. Eastern time, February 28, 2017. The cost of the PQRSwizard is $299 per physician (discounts are offered for groups of 10 or more physicians).
Maintenance of Certification (MOC) is an integral part of the quality movement in health care. It allows physicians to demonstrate their support for continuous quality improvement, professional development and quality patient care. More detailed information on participating in MOC can be found on the American Board of Radiology
(ABR) website and ASTRO provides
many opportunities to help you maintain your certification.
PQRS and MOC are two separate programs. Under PQRS, you can receive a 0.5 percent incentive payment for satisfactory participation, and an additional 0.5 percent payment for participating in a MOC program "more frequently" than is required to qualify or maintain board certification. Thus, providers can receive up to 1 percent in incentive payments.
ASTRO offers members a MOC Part 4 Practice Quality Improvement template that allows PQRSwizard participants the opportunity to use their PQRS data to complete an ABR-qualified Practice Quality Improvement template.
The PQRS Oncology Measures Group PQI template is based on the ABR's four-part Plan-Do-Study-Act (PDSA) process for continuous quality improvement. The PQI template requires members to participate in PQRS using the Oncology Measures Group and PQRSwizard reporting options. To complete the PQI template for MOC, participants will link two consecutive PDSA cycles together to create an action-oriented improvement plan that assesses the effects of their quality improvement strategy. For the purposes of this project, each of the two consecutive PDSA cycles will coincide with two consecutive PQRS reporting periods (1 cycle/reporting period = January 1-December 31).
In the first PDSA cycle/PQRS reporting period, participants will use the Oncology Measures Group to collect baseline data, evaluate their performance and develop a performance improvement plan.
Participants will select at least one measure that will be the focus of their performance improvement plan. If you have a 100 percent performance rate on all of the applicable measures, you will need to select another measure for which a definite gap in performance can be identified.
In the second PDSA cycle/PQRS reporting period, participants will re-measure their performance on the Oncology Measures Group measures and evaluate their performance outcomes to see if their performance goals were met. The project concludes with a written participant reflection.
Download the template.
It is possible that all the measures in the Oncology Measures Group may not apply to a provider's patient population. However, a provider may still participate in PQRS using the measure group option even if all of the measures do not apply; the provider would not report the inapplicable measures. For example, if a provider sees a denominator eligible male patient who is not experiencing pain, the provider would not report measure #71 (Breast Cancer) or #144 (Plan of Care for Pain), as those are not "applicable" to that patient.
You can still participate in PQRS by reporting the Oncology Measures Group even if you see no Stage III colon cancer patients. It is unlikely that radiation oncologists see patients who fit this measure. Therefore, it does not apply to their patient population and is an inapplicable measure.
You must report these measures for at least one patient who meets the denominator criteria for these measures.
For the Oncology Measures Group, you must report on 20 unique patients, a majority of which must be Medicare Part B Fee For Service patients. The remaining patients can be from any payer.
For individual measure reporting, you must report on 50 percent of your Medicare Part B FFS patients that meet the denominator criteria for individual measures. All patients reported must have been seen during the 2015 calendar year.
In order to change your selection of measures, please send the request via the "support" option on the PQRSwizard page. You will need to complete a short online form with your request to reset the measures selection. You will then be contacted by CECity with the next steps.
The ASTRO PQRSwizard greatly reduces the burden of reporting and increases your chances of earning a bonus. It's similar to online tax preparation software and helps guide professionals through a few easy steps to rapidly collect, validate and submit their results to CMS for payment. Participants must:
Get started now. You will be directed to the ASTRO PQRSwizard homepage. Click on the GET STARTED button. Next, indicate if you will be reporting using an EMR or Other Data Source by clicking the appropriate button. Then click REGISTER. You will be prompted to create an account on the ASTRO PQRSwizard. Please note, the PQRSwizard does not automatically recognize your ASTRO username and password, so you must create a separate account.
Yes. If you would like to submit another report with the ASTRO PQRSwizard, you can certainly do so. CMS will review and analyze each submission independently and will use the submission that is most advantageous to you.
The ASTRO PQRSwizard "Progress Monitor" will visually display the requirements and track the number of eligible patients entered based on the measures selected. Once you have met the requirements, the ASTRO PQRSwizard will indicate that your report is complete and allow you to submit your report. Until you meet the requirements, you will not be able to submit your report.
No, the ASTRO PQRSwizard will submit your reporting data to CMS. Once you have completed the ASTRO PQRSwizard and click "submit," you do not need to do anything else.
ASTRO offers members a PQRS Oncology Measures Group PQI template, based on the ABR's four-part Plan-Do-Study-Act (PDSA) process for continuous quality improvement. The PQI template requires members to participate in PQRS using the Oncology Measures Group and PQRSwizard reporting options. Members will link two consecutive PDSA cycles together to create an action-oriented improvement plan that assesses the effects of their quality improvement strategy. For the purposes of this project, each of the two consecutive PDSA cycles will coincide with two consecutive PQRS reporting periods (1 cycle/reporting period = January 1 - December 31).
PQRS participation is based on each NPI-TIN combination that bills Medicare Part B services. Therefore, failure to participate will result in the penalty for those NPI-TIN combinations that did not participate, even though the NPI may be associated with successful participation at another TIN.
For more information contact:Anne HubbardDirector of Health Policy