Medicare Physician Quality Reporting System (PQRS)

The Physician Quality Reporting System (PQRS) is the quality reporting program under Medicare Part B. Eligible professionals, including physical therapists who bill Medicare for outpatient physical therapy services in private practice settings (using the 1500 claim form or 837-P) are included under this program. Eligible professionals, including physical therapists that do not satisfactorily report data on quality measures for the January 1, 2015-December 31, 2015 reporting period, will be subject to the 2.0% adjustment in their fee schedule amount in 2017.

PQRS Update

November 6, 2014: Information on Claims-Based Reporting and Registry-Based Reporting and GPRO has been provided. Information on the individual and group measures will be posted here in December, 2014. Please review information on the new value-based modifier that is being implemented in 2016.

Getting Started with PQRS

2014 Updates

Related Resources

Discussion Forum

  • PQRS Discussion Forum

    The PQRS discussion forum in The Hub is a chance for members to get answers to frequently asked questions and share experiences.

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