The 2012 AOA CAP for PQRS has now closed.
Please visit www.qualitynet.org in fall 2013 to access your CMS feedback report. We will be sending out communication for the opening of the 2013 AOA CAP for PQRS via our TouchPoints e -alerts in early summer.
How to Participate in the AOA CAP for PQRS
You will need a few things to get started:
Key points to remember about the AOA CAP for PQRS:
Only Medicare Part B patients are eligible for the AOA CAP for PQRS. This includes Railroad Retirement Board and Medicare Secondary Payer, but does not include Medicare Advantage beneficiaries.
If you are reporting via the group reporting method, you will need to satisfy and report each measure within the measure group at least one time.
Penalties will start in 2015 based on your participation in the program in 2013.
If you are participating in the CMS EHR Incentive program, you are still able to participate in PQRS.
The AOA developed the CAP for PQRS to provide physicians with an opportunity to receive enhanced payment from CMS and understand how patients are doing using evidence-based process and outcome measures.
Eligible professionals can only choose to participate in one measure group per reporting year, and there is only potential to receive one bonus incentive per reporting year. CMS has expanded the number of measure groups to 22, which greatly expands your opportunity to participate in the program. The AOA CAP for PQRS offers all 22. Please note that there are changes and updates to some of the measure groups this year.
In addition to the measure group option, we are offering the individual measure reporting option. There are 21 measure sets from which to choose. You must select at least 3 measures from one measure set and report 80% of your Medicare Part B patients that meet each of the three measures.
Requirements and Deadlines
CMS requires all registries to conduct audits of participant data.
Please make sure that you keep track of your 30 patient charts and match them with their computer-generated Patient Identifier numbers. This is the approximately eight-digit number that is automatically populated in the system when you add a new patient to the program.
We suggest you keep a list in an Excel file for easy access and also record this number in the patient chart.
All data during the reporting period for 2012 must have been submitted by Feb. 1, 2013, 5 p.m. EST, to be eligible for the PQRS bonus payment.
CMS payments for PQRS 2012 will be made in the fall of 2013.
The AOA CAP for PQRS reserves the right to accept or decline any request for a refund. If you feel that a refund is due, please contact AOA CAP for PQRS at firstname.lastname@example.org prior to Feb. 1, 2013, at 5 p.m. EST. Include the following information: your name, an email address you would like the confirmation sent to, and reason for refund. A confirmation email will be sent with information related to your refund, including whether such a refund has been approved. The amount to be refunded in the case where the refund has been approved will incur a $25 processing fee.