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Physician's Quality Registry

Terms in this set (14)

QCDR (Qualified Clinical Data Registry)
One of the reporting mechanisms available within PQRS. The collection and submission of PQRS quality measures data on behalf of EPs are the functions a traditional "qualified registry" currently performs under PQRS for purposes of EPs satisfactorily reporting.
RHIO (Regional health Information Organization)
A group of organizations within a specific area that share healthcare-related information electronically according to accepted healthcare information technology (HIT) standards.
What is a registry in health care?
Records information about the health status of patients and the health care they receive over varying periods of time. They typically focus on patients who share a common reason for needing health care.
MACRA
Medicare Access and CHIP Reauthorization Act. Combines parts of the Physician Quality Reporting System (PQRS), Value-based Payment Modifier (VBM), and the Medicare Electronic Health Record (EHR) incentive program into one single program called the Merit-based Incentive Payment System, or "MIPS".
What are the types of Quality Measures?
- Structural Measures
- Process Measures
- Outcome Measures
PQR
Physicians Quality Registry
CMS
Centers for Medicare and Medicaid Services
RHIO
Regional health Information Organization
QCDR
Qualified Clinical Data Registry
What has MACRA replaced?
Medicare Part B Sustainable Growth Rate (SGR) and create a new method regarding how Medicare reimburses physicians. CMS made new changes to the Physician Fee Schedule (PFS) and replaced the fee-for-service method with value-based payments under the Quality Payment Program (QPP). The QPP is made up of two major sections: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). MIPS will now be the "new norm" for Part B physicians who will only be exempt if they meet certain conditions.
MIPS
Merit-Based Incentive Payment System.
MIPS (Merit-Based Incentive Payment System)
Combines the existing quality reporting programs (PQRS, Meaningful Use, and the Value-Based Payment Modifier (VM)) and adds a new component to create a new quality reporting system with a single payment adjustment factor. As with other Medicare initiatives, MIPS will be a budget neutral program, meaning successful reporters will earn incentive payments funded by unsuccessful reporters.
QPP
Quality Payment Program
QPP (Quality Payment Program)
Has the goal to improve Medicare by allowing physicians to concentrate on the quality of care they are providing their patients, as well as other benefits.
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