The dawn of a new year should be your reminder to update your PQRS (Physician Quality Reporting System) measures. Each year, some measures are retired and new measures are introduced. This year psychologists don’t necessarily have more measures to use, but we do have more reporting options.
APA has partnered with Healthmonix, a registry company, to provide a registry specifically for psychologists. The registry is available at http://apapo.pqrs.com. I used the registry this year and I will share my experiences later in this post.
PQRS Basics for 2015: There are 6 different ways to report PQRS data. Most psychologists have two reporting methods available: Claims-based and registry. Some psychologists, particularly if employed by large systems, may be able to report via GPRO (a registry based reporting system for group practices) and EHR (directly through electronic heath records).
Claims-based reporting remains the most popular way for providers to report, according to CMS. Nevertheless, CMS plans to phase out Claims reporting (federal register, 11/13/14) and thus they retired more claims-based measures this year. There are 6 measures psychologists can report via claims:
#128 body mass index,
#130 documentation and verification of current medications in the medical record,
#131 pain assessment prior to initiation of patient treatment,
#134 screening for clinical depression,
#181 elder maltreatment screen and follow-up plan
#226 preventive care and screening: tobacco use-screening and cessation intervention.
SEE ADDENDUM below for an additional measure.
CMS is encouraging providers to use registry reporting (or EHR), although no definitive end-date has been established for claims reporting. Claims-based measures available to psychologists are also available via registry. There are 4 measures only reportable via registry:
#173 unhealthy alcohol use,
#325 adult major depressive disorder (MDD): coordination of care of patients with specific comorbid conditions,
#383 adherence to antipsychotic medications for individuals with schizophrenia
#391 follow-up after hospitalization for mental illness.
Note that APA also included # 9 major depressive disorder: antidepressant medication during acute phase, but this is an error. Measure #9 is only available via EHR reporting. There is also a Measure Group on Dementia available via registry.
Participate in PQRS during 2015 to avoid a 2% payment adjustment (AKA cut, penalty) to your Medicare reimbursement in 2017. CMS requires that providers report 9 measures covering 3 NQS (national quality strategy domains) on 50% of all FFS (fee for service) Medicare beneficiaries. PQRS does not apply to Medicare replacement plans. According to CMS, a provider who see’s at least one FFS Medicare beneficiary, must report at least 1 cross-cutting measure. A cross-cutting measure is a measure that is reportable via most, if not all, reporting methods. Several of the claims-based measures are on the cross-cutting measures list.
If a provider does not have 9 available measures (as is the case for psychologists using claims-based reporting), he/she should use as many measures as possible (6 for psychologists reporting via claims). The reporting will be subject to MAV (measure-applicability validation), which is a system that CMS uses to determine if the provider used all available measures. If the MAV determines that the provider fulfilled his/her obligation, the provider will get credit for successfully reporting PQRS data and avoid the 2% payment adjustment.
The Measures Group on Dementia is only available via registry. A “measures group” includes a number of related measures that must be completed on each patient. CMS requires that measure groups be reported on at least 20 patients, the majority of which need to be FFS Medicare Part B beneficiaries. When reporting measures groups, you can report data from Medicare replacement plans.
I am pleased that APA set up a registry for psychologists, especially since CMS plans to phase out claims-based reporting. I found the registry easy to navigate and it provided good feedback about duplicate reports and if I met CMS criteria. I was able to continue to enter data over time, verify that I met criteria, and then submit to the registry. Healthmonix staff were helpful in answering specific questions during the process.
A draw back of registry reporting is that it costs $198 per provider per year, at this time. It is also time-consuming, especially if you wait until the end of the year to submit your data, as I did this year (I was submitting 2014 data via claims for most of the year, but then decided to use the registry). I had 68 unique FFS Medicare patients encompassing 233 sessions (I entered 100% of my patients, not the 50% that is required by CMS). It took me approximately 11 hours to enter data, but once I was done, I knew that I met CMS criteria and avoided the payment readjustment in 2016 (performance in 2014 impacts payment in 2016). I chose to enter 100% of my FFS Medicare Patients knowing that I was not 100% compliant on completing measure #130 (verifying medications in the medical record) which requires a review at every session. Hospitalized patients are easy because the med list is updated daily in the medical record. Outpatients and home visit patients aren’t as easy. Patients may not know the names or dosages of medications, but quite frankly, I didn’t feel it was appropriate to discuss medications at every session with every client.
Other benefits of registry reporting include: being prepared when claims reporting is eliminated, provider has complete control over the data reported to CMS, there is no patient identifying data attached to data, increased likelihood of successfully meeting CMS criteria (99%), and participating in the learning curve of quality reporting.
Quality reporting, in one shape or form, is here to stay. Eventually, all providers will be required to participate whether Medicare providers or not The data will serve as a way to measure the quality of services relative to similar providers. Information from quality reporting and other sources will provide a score for each of us. It is projected that payers and other entities will use the score to make decisions about us, such as what fee to pay us, whether to let us in a provider panel etc. That’s right, the score we achieve will determine our fee. Those with higher scores will be paid at higher levels; those with lower scores will be paid less for the same service. Not participating in quality reporting will lower your score. CMS and others are looking at ways to measure quality of care with respect to clinical outcomes, financial outcomes, patient satisfaction, population outcomes and many other variables.
Since this is your forum, it is your place to ask questions. I make every effort to check and double-check what I report to make sure it is accurate, but I am human and there are heaps of documents to sort through. Please always check with the original sources before implementing specific measures into your practice. If you see any errors in my posts, please let me know publicly through the blog. This way we alert others of a potential error and I can correct it quickly.
ADDENDUM. updated 2/13/15. Due to the sharp eyes and mind of one of our fellow psychologists Jeremy Katz), it appears that there is another measure that is potentially available to psychologists who report via claims or registry.
Measure #317: Preventive care and screening: screening for high blood pressure and follow-up.
Federal Register/ Vol.79, No. 219/Thursday, November 13, 2014/Rules and Regulations
Blog author: Dori Ann Bischmann, PhD
WPA Advocacy Cabinet