ABC's of Quality Reporting: Your 2016 Roadmap to Navigating Health IT Initiatives, including PQRS, Value-Based Modifier, and the Merit-based Incentive Payment System

Table of Contents
Acknowledgments
About the Author
Editor’s Note
Chapter 1: 
Understanding Quality Reporting Context
	The Path for 2016
		Looking Back
		The Road Ahead
		Financial Impacts of CMSQuality Programs
		PQRS Basics
			Avoiding Payment Adjustments
			Eligibility Requirements
				Eligible but Not Able to Participate
				Scenario 1: Does not bill services payable under the MPFS
				Scenario 2: Does not submit individual rendering National Provider Identifier (NPI)
			Naming Conventions
			Reporting Periods
			Individual versus Group Reporting
				Group Practices Defined
				Why Choose One or the Other
			PQRS Measures
				Where Measures Come From
				Defining Quality Measures
				Calculating Quality Measures
				Determining a Quality Measure’s Reporting Frequency
				Performance Timeframes
				Types of Measures
				Availability of Measures
				Measure Selection Strategy
			Individual Measures
			Measures Groups
			Specialty Measure Sets
			Cross-Cutting Measures
			PQRS Reporting for Pathologists
Chapter 2: 
PQRS Reporting Methods
	Claims (I)
		Registry (I) (G)
		Electronic Health Record (EHR) (I) (G)
			EHR-Direct versus DSV
		Qualified Clinical Data Registry (I)
		Group Practice Reporting Option (GPRO) Web Interface (G)
			Web Interface Quality Measures
		Certified Survey Vendors (CAHPS for PQRS) (G)
Chapter 3: Understanding the
Value-based Payment Modifier (VM) Program
	Calculating a VM Score
		Quality Composite
		Cost Composite
		Risk Factors of a Practices Attributed Beneficiaries
		How Does CMS Determine National Benchmarks?
		Quality Tiering
		Quality Resource and Use Reports (QRURs)
			Performance Highlights Page of the QRUR
		Informal Review
			How to Request an Informal Review
			Informal Review Decision
Chapter 4: Public Reporting 
of Quality
	Physician Compare
Chapter 5: 
Physician Quality Reporting System (PQRS) Best Practices
	Getting Help
		Frequently Asked Questions (FAQs)
Acronymns
Appendix
	Claims-based Reporting Coding
		Measure Applicability Validation (MAV)
			Clinical Relation Test
			Minimum Threshold Test