Using Practice Fusion for PQRS EHR Reporting in 2014

Using Practice Fusion for PQRS
EHR Reporting in 2014
Presented By:
Emily Richmond, MPH
Senior Manager, Health Care Quality
www.PracticeFusion.com

Agenda
• PQRS requirements in 2014
• PQRS EHR reporting requirements
• Measure selection and EHR reporting applicability
• Detailed deep dive into Practice Fusion PQRS CQMs
• Frequently asked questions
• Resources
2

What is the Physician Quality Reporting System?
PQRS is a CMS quality improvement program that uses a combination
of incentive payments and penalties to promote reporting of quality
data
Who is eligible for PQRS?
+ Providers who see Medicare Part B patients and are reimbursed
under the Medicare Physician Fee Schedule (PFS).
+ This includes physicians, chiropractors, dentists, PAs, NPs, and
other eligible practitioners and therapists.
What services are PQRS eligible?
+ Under PQRS, covered professional services are those paid under or
based on the Medicare PFS.
+ Those services are eligible for PQRS incentive payments and/or
payment adjustments.

PQRS Participation in 2014
Your PQRS participation in 2014 determines both your potential payment
incentive and possible adjustment penalties that will affect future
Medicare reimbursements:
Year
Year
Year Data Collected to Inform
Payment/Penalty
Year Data Collected to
Inform Payment/Penalty
Bonus/Adjustment
Bonus/Adjustment
Incentive Payment
Incentive Payment
2014 2014 +0.5%
2014 2014 +0.5%
Payment Adjustment
Payment Adjustment
2015 2015 2013 2013 -1.5%
-1.5%
2016 2016 2014 2014 -2.0%
-2.0%
2017+ 2015 -2.0%
2017+ 2015 -2.0%

Important PQRS Facts
+ PQRS is very complex - PQRS requirements vary based on the
reporting mechanism that you choose. The complexities are good
in that you have more options, but it also means that you need to
become familiar specific requirements that apply to the option
that you are using.
+ PQRS requirements are specific to each calendar year – Eligible
PQRS measures, G-codes, reporting requirements, etc. may
change from year to year, so make sure you refer to 2014
resources and materials. The 2014 PQRS reporting period is
January 1, 2014-December 31, 2014.
+ PQRS actions don’t roll-over – You may have acted last year for
PQRS, but that doesn’t mean you can get out of taking action this
year. Reporting this year applies to 2016 reimbursements,
reporting last year will be applied to 2015 reimbursements.
5

Earning the 2014 PQRS Incentive
+ To qualify for the 2014
PQRS incentive, you
must use one of the
following reporting
options.
+ Note that completing
requirements to earn
the 2014 PQRS
incentive automatically
results in avoiding the
2016 PQRS payment
penalty.
Claims-Based
Reporting
Registry Reporting
Qualified Clinical Data
Registry (QCDR)
Reporting
Group Practice
Option (GPRO)
EHR Reporting

EHR Reporting for PQRS
Providers can earn a 2014 PQRS incentive and avoid the 2016
PQRS payment adjustment by meeting the following criteria for EHR
satisfactory reporting:
+ Report on at least 9 measures covering 3 National Quality
Strategy (NQS) domains for all eligible patients during the
measurement period.
+ If the certified EHR does not contain patient data for at least 9
measures covering at least 3 domains, then report the measures
for which there is Medicare patient data.
 Providers must report on at least 1 CQM for which there is
Medicare patient data.
+ PQRS EHR reporting uses data from all patients, regardless of
their insurance status when reporting to CMS.
7

Practice Fusion and PQRS EHR Reporting
+ Practice Fusion will be acting as a Direct EHR Vendor
(EHR Direct), which will allow our providers to use
Practice Fusion to directly submit their PQRS measures
data to CMS in the CMS specified format on their own
behalf.
+ PQRS reporting for the EHR reporting mechanism will
occur between January-February 2015 since the PQRS
measurement period runs from January 1, 2014-
December 31, 2014.
8

Steps for PQRS EHR Reporting
1. Determine which measures apply to your practice
 Review the CQM list & learn about the measure specifications
2. Document all patient care and visit-related information in
your EHR system
 Ensure you identify and capture all eligible cases per the
measure denominator for each measure you choose to report.
3. Select which CQMs you want to report for PQRS using EHR
reporting and opt-in to PQRS data submission
4. Complete CQM file generation in Practice Fusion’s 2014
Clinical Quality Measure report and upload file to CMS
 Late in 2014, you will be able to select your CQMs that you’d
like to report for PQRS and generate a file to upload to CMS.
9

Measure selection and EHR data entry
+ Practice Fusion currently supports 13 clinical quality
measures that are eligible for PQRS reporting.
+ Providers who wish to report PQRS via EHR reporting will
need to select 9 measures to report to CMS.
 This selection feature will be available in late Summer
2014.
+ To meet PQRS requirements, select 9 measures that
cover at least 3 National Quality Strategy domains and
have a value (not a zero) in the measure denominator.
 Make sure at least one of the 9 measures includes at
least 1 Medicare patient
10

EHR Reporting Measure Selection Considerations
Measure selection should begin with a
review of Practice Fusion’s CQM
Calculation Guide to determine
whether the available measures are
applicable to your practice.
Avoid individual measures that do not or
may infrequently apply to the services
you provide to your patients.
If PF does not support 9 measures that are
applicable to your practice, you should look
into other PQRS reporting options.
11
The following factors should
be considered when selecting
measures for reporting:
 Clinical conditions usually
treated
 Types of care typically
provided – e.g., preventive,
chronic, acute
 Settings where care is
usually delivered – e.g.,
office, emergency
department (ED), surgical
suite
 Quality improvement goals
for 2014
 Other quality reporting
programs in use or being
considered

Understanding PQRS Measures
+ PQRS measures consist of two major components:
1. A denominator that describes the eligible cases for a measure
(the eligible patient population associated with a measure’s
numerator)
2. A numerator that describes the clinical action required by the
measure for reporting and performance
+ Each component is defined by specific clinical codes described in
each measure specification along with reporting instructions.
+ For measures eligible for EHR reporting, Practice Fusion has
implemented the measure according to very specific guidelines
(including how data must be collected and how the measure is
calculated).
12

Practice Fusion Clinical Quality Measures
13
Measure # Title NQS Domain
CMS165v2 Controlling High Blood Pressure Clinical Process & Effectiveness
CMS156v2 Use of High-Risk Medications in the Elderly Patient Safety
CMS138v2
Preventive Care and Screening: Tobacco Use:
Screening and Cessation Intervention
Population & Public Health
CMS130v2 Colorectal Cancer Screening Clinical Process & Effectiveness
CMS166v3 Use of Imaging Studies for Low Back Pain
Efficient Use of Healthcare
Resource
CMS131v2 Diabetes: Eye Exam Clinical Process & Effectiveness
CMS123v2 Diabetes: Foot Exam Clinical Process & Effectiveness
CMS122v2 Diabetes: Hemoglobin A1c Poor Control Clinical Process & Effectiveness
CMS2v3
Preventive Care and Screening: Screening for
Clinical Depression and Follow-Up Plan
CMS68v3
Documentation of Current Medications in the
Medical Record
Patient Safety
CMS69v2
Preventive Care and Screening: Body Mass
Index (BMI) Screening and Follow-Up
CMS50v2
Closing the referral loop: receipt of specialist
report
Care Coordination
CMS90v3
Functional status assessment for complex
chronic conditions
Patient & Family Engagement

CMS 165v2 – Controlling High Blood Pressure
14
Denominator Numerator
Patients 18-85 years of age who had a
diagnosis of essential hypertension
within the first six months of the
measurement period or any time prior
to the measurement period
Patients whose blood pressure at the
most recent visit is adequately
(systolic blood pressure < 140 mmHg
diastolic blood pressure < 90 mmHg)
during the measurement period.
Practice Fusion
Suggested Workflow
Record blood pressure in the chart note for all patients
have a diagnosis for hypertension during each
Patients whose blood pressure is uncontrolled should be
monitored and have their vital signs updated at each
follow-up visit.

CMS 165v2 – Controlling High Blood Pressure
CQM Measurement Period
More Measure Details
+ This measure looks to see that providers can control the BP of their
hypertensive patients within the first 6 months of diagnosis.
15
1/1/2014 6/1/2014 12/31/2014
Patients diagnosed with hypertension prior to the start of the measurement period whose hypertension is
resolved before the start of the measurement period ARE NOT included in the denominator.
Patients diagnosed with hypertension prior to the start of the measurement period whose hypertension is
still ACTIVE after the start of the measurement period ARE included in the denominator, if they have an
encounter during the measurement period.
All patients who are diagnosed with hypertension within the first 6 months of the measurement period and
have an encounter during that time ARE included in the denominator.
All patients with an active diagnoses for hypertension who have an encounter during the measurement
period ARE included in the denominator of the measure.

CMS156v2– Use of High-Risk Medications in the Elderly
16
Patients 66 years and older who had a
visit during the measurement period
Numerator 1: Patients with an order for at least one
high-risk medication during the measurement
Numerator 2: Patients with an order for at least two
different high-risk medications during the
measurement period.
Practice Fusion
Suggested Workflow
“High-risk” medications are those than can result in adverse
or medications that are clinically inappropriate for seniors. This
measure is calculated based on the medications that prescribed to
patients who meet the denominator criteria.
Patients are identified as having a visit during the measurement
period if they have a signed chart note labeled with an encounter
type of “office visit.”

CMS156v2– Use of High-Risk Medications in the Elderly
+ Examples of high risk medications as defined by this measure include certain
dosages and strengths of:
 Acetaminophen
 Butabarbital sodium
 Diphenhydramine Hydrochloride
 Estrogens
+ Go to www.ushik.org to download the “High risk medications for the elderly” Value
Set to see the full list.
17

CMS138v2
Tobacco Use: Screening and Cessation Intervention
18
All patients aged 18 years and older Patients who were screened for tobacco use at least
within 24 months AND who received tobacco cessation
counseling intervention if identified as a tobacco user.
Practice Fusion
Suggested Workflow
Record a smoking status in the Lifestyle section for all patients and
the patient’s smoking status indicates they are a tobacco user,
document a tobacco cessation counseling intervention in the
Screenings/Assessments/Interventions section of the chart note.
The smoking statuses that are used to identify if a patient is a
“tobacco user” are: Current every day smoker; Current some day
smoker; Smoker, current status unknown; Heavy tobacco smoker;
smoker; and Light tobacco smoker. The smoking status of
Unknown if ever smoked is not used to determine numerator
numerator credit for this measure.

CMS138v2–Tobacco Use: Screening and Cessation Intervention
+ Examples of smoking cessation interventions that you can choose are
“smoking cessation education (procedure)” or “referral to stop
smoking clinic (procedure)”
+ The smoking cessation intervention that is added to the chart can be
“performed” or “ordered” and a result is not needed to receive credit
for this measure.
19
1) 2)

CMS130v2 – Colorectal Cancer Screening
20
Patients 50-75 years of
age with a visit during
the measurement
Patients with one or more screenings for colorectal cancer.
screenings are defined by any one of the following criteria below:
• Fecal occult blood test (FOBT) during the measurement period
• Flexible sigmoidoscopy during the measurement period or the
years prior to the measurement period
• Colonoscopy during the measurement period or the nine years
to the measurement period
Practice
Fusion
Suggested
Workflow
Colorectal cancer screenings can be recorded in the patient chart in the
Screenings/ Interventions/Assessments section or by receiving structured
results. Patients are identified as having a visit during the measurement
they have a signed chart note labeled with an encounter type of “office visit.”
To record the colorectal cancer screening, search for the screening that the
received and select the appropriate screening. Use the modal to indicate
screening was “performed” and the date that the screening occurred.

CMS130v2 – Colorectal Cancer Screening
+ After selecting the appropriate screening, indicate that it was performed and,
if needed, select the date of performance if it occurred in the past by another
provider.
+ You can use the comments section to indicate who completed the screening.
+ CMS requires an actual lab result when a measure requires a performed
FOBT test (or result).
21
1) 2)

CMS166v3 – Use of Imaging Studies for Low Back Pain
22
Patients 18-50 years of age with a
diagnosis of low back pain during
outpatient or emergency
visit
Patients without an imaging study conducted on the
of the outpatient or emergency department visit or in
28 days following the outpatient or emergency
department visit
Practice Fusion
Suggested
Workflow
The numerator value for this measure is determined after a 28 day
following each relevant encounter. Practice Fusion only uses encounters
that are labeled with “Office Visit” in the denominator of this measure.
Imaging studies that have been performed should be recorded in the
Screenings/ Interventions/Assessments section of the chart note.
Fusion will also use imaging results that are sent to the EHR for the
purposes of calculating this measure.

CMS166v3 – Use of Imaging Studies for Low Back Pain
+ This measure looks to see if providers are avoiding unnecessary
imaging tests for patients with low back pain.
+ Examples of eligible diagnoses for “low back pain” include:
 Sciatica, unspecified side
 Low back pain
 Lumbago
 Backache, unspecified
+ Because this measure is looking to see whether an imaging test is
performed within 28 days of diagnosis, you will not see any values for
this numerator until at least 29 days after the encounter where the
patient was diagnosed.
23

CMS131v2 – Diabetes: Eye Exam
24
Patients 18-75 years of age
diabetes with a visit during
measurement period
Patients with an eye screening for diabetic retinal disease.
includes diabetics who had one of the following:
• A retinal or dilated eye exam by an eye care
the measurement period, or
• A negative retinal exam (no evidence of retinopathy) by
eye care professional in the year prior to the
period.
Practice Fusion
Suggested
After performing the required exam or confirming that the
has received the exam from an eye care professional, search
record that an “Examination of the retina (procedure)” has been
performed in the Screenings/Interventions/Assessments

CMS131v2 – Diabetes: Eye Exam
+ For this measure, the patient must have received the eye exam from
an eligible eye professional.
+ After determining that the patient has had this exam from a eligible
eye professional, search and choose the applicable exam, indicate
that it was performed and on what date, and if you choose, include a
note about the provider in the comments section.
25

CMS123v2 – Diabetes: Foot Exam
26
measurement period
Patients who received visual, pulse and sensory foot
examinations during the measurement period
Practice Fusion
Suggested
This measure requires that the patient receive all three of the
exams listed in the numerator description. After performing the
required foot exams or confirming that the patient has received
exams from another medical professional during the
period, search for and record that a “Diabetic foot exam (visual,
sensory, and pulse)” has been performed in the
Screenings/Interventions/Assessments section of the chart
This selection is mapped to the coded values for all three
exams.

CMS123v2 – Diabetes: Foot Exam
+ The data element “Diabetic foot exam (visual, sensory, and pulse)”
been mapped to the coded values for all three exams required for this
measure.
+ Instead of adding each exam individually, after confirming or
the visual, sensory, and pulse foot exams, select the option
green above to get credit in the numerator.
27
1) 2)

CMS122v2 – Diabetes: Hemoglobin A1c Poor Control
28
measurement period
Patients whose most recent HbA1c level (performed during
measurement period) is >9.0% or patients who don’t have
A1c test result during the measurement period
Practice Fusion
Suggested
This measure uses structured lab results that are received in
to determine whether a patient falls into the numerator.
This is an inverse measure, which means that patients who fall
the numerator do not meet the clinical guidelines. Only
HbA1c lab results that are received in the EHR from a lab
can be used to calculate this measure.

CMS122v2 – Diabetes: Hemoglobin A1c Poor Control
+ Only structured lab results that include a valid LOINC code can be
used in calculating this measure. Many labs send us local codes for
tests, instead of LOINC – which is required for the 2014 CQM
specifications.
+ Practice Fusion is working with our lab partners to map their local
codes to official LOINC codes so that we can process results more
efficiently.
29

CMS2v3
Screening for Clinical Depression and Follow-Up Plan
30
All patients aged 12 years and older
before the beginning of the
measurement period with at least one
eligible encounter during the
measurement period.
Patients screened for clinical depression on the date
the encounter using an age appropriate
tool AND if positive, a follow-up plan is documented
on the date of the positive screen
Practice Fusion
Suggested
Workflow
Patients who meet the denominator criteria should be screened for
depression using an age-appropriate depression screening instrument.
After conducting the appropriate screening record “Adult [or
depression screening assessment” in the Screenings /Interventions
/Assessments section. If positive, record the appropriate follow-up plan
the same section.
Examples of data elements that meet the requirements for a follow-up
plan include “Mental health care education (procedure),” “Referral to
psychologist (procedure),” and “Case management follow up
(procedure).”

+ After selecting that the screening
was performed, you must select the
result of depression screening
negative or depression screening
positive.
+ If you are a specialist that doesn’t
conduct depression screenings,
you may see your denominator
increase but not your numerator.
CMS2v3
Screening for Clinical Depression and Follow-Up Plan
31
1)
2)

CMS68v3 –
Documentation of Current Medications in the Medical Record
32
All visits occurring during the
12 month reporting period
patients aged 18 years and
older before the start of the
measurement period
Eligible professional attests to documenting, updating or
reviewing the patient’s current medications using all immediate
resources available on the date of the encounter. This list must
include ALL known prescriptions, over-the-counters, herbals
vitamin/mineral/dietary (nutritional) supplements AND must
contain the medications’ name, dosages, frequency and route
administration
Practice Fusion
Suggested
Workflow
This measure uses a denominator unit of measurement of all
for patients age 18 and older, which means that the numerator criteria
must be documented for each encounter labeled “Office Visit” or
Visit.” To record your attestation that the patient’s current medication
is documented in the chart, select the “Documentation of Current
Medications” checkbox under the Quality of Care section.

CMS68v3 –
Documentation of Current Medications in the Medical Record
+ This measure requires that you attest at each patient encounter that
you have checked the patient’s current medication list and that it is up
to date.
+ Checking this checkbox not only allows you to document this
attestation for the purposes of accurate documentation and
calculations, it can also be used if you are ever audited to prove that
you completed this clinical action.
33
1) 2)

CMS69v2
Body Mass Index (BMI) Screening and Follow-Up
34
Denominator 1: Patients age 65 and older…
Denominator 2: Patients age 16 through 64 years of age…
before the beginning of the measurement period with at
one eligible encounter during the measurement period
INCLUDING encounters where the patient is receiving
palliative care, refuses measurement of height and/or
the patient is in an urgent or emergent medical situation
where time is of the essence and to delay treatment would
jeopardize the patient’s health status, or there is any other
reason documented in the medical record by the provider
explaining why BMI measurement was not appropriate
Patients with a documented BMI
during the encounter or during
previous six months, AND when
the BMI is outside of normal
parameters, a follow-up plan is
documented during the
or during the previous six
of the encounter with the BMI
outside of normal parameters.

CMS69v2 –
35
Practice
Fusion
Suggested
Workflow
Record height and weight for all patients during eligible encounters (encounters
labeled “Office Visit” or “Home Visit”); Practice Fusion automatically calculates and
records the patient’s BMI. Determine whether the patient’s BMI falls above or
the normal parameters listed below.
Normal Parameters:
Age 65 years and older BMI ≥ 23 and < 30
Age 18-64 years BMI ≥ 18.5 and < 25
For patients whose BMI falls outside the normal parameters for their age range,
record that an appropriate follow-up plan was either ordered or performed in the
Screenings/ Interventions/Assessments section of the chart note. After selecting an
appropriate follow-up plan, you will need to record the reason for the follow-up,
“overweight” or “underweight” depending on where the patient falls in relation to
normal parameters.
Examples of follow-up plans for BMI management include: “Dietary counseling
surveillance,” “Lifestyle education regarding diet (procedure),” and “Nutrition
(regime/therapy).”

CMS69v2
+ After choosing the appropriate counseling or follow-up plan, you can
indicate that it was ordered or performed.
+ You must also select the appropriate reason code – overweight or
underweight, to receive credit for this measure.
36
1) 2)

CMS50v2
Closing the referral loop: receipt of specialist report
37
All patients aged 12 years and older before
the beginning of the measurement period
with at least one eligible encounter during
the measurement period.
Number of patients with a referral, for which the
referring provider received a report from the
provider to whom the patient was referred.
Practice
Fusion
Suggested
Workflow
Referrals that occur in the Practice Fusion referral workflow are tracked in the
referral tab of the patient chart or the messages section. After receiving a
follow-up consultation report from the provider to whom the patient was
referred, select the checkbox next to each completed referral to meet the
numerator criteria.
Referrals that occur outside of Practice Fusion can be recorded by selecting
appropriate referral data element from the Screenings/
Interventions/Assessments section of the chart note. When a consultation
has been received from the provider to whom the patient was referred, this
be logged in a subsequent chart note under the Screenings/
Interventions/Assessments section by recording “Confirmatory consultation
report (record artifact).”

CMS50v2 –
Closing the referral loop: receipt of specialist report
+ Check the box in the referral tab to indicate that you have received
the follow-up report from the specialist.
+ This checkbox is tied to the appropriate codes in the database for
CQM calculations.
38

CMS90v3
Functional Status Assessment for Complex Chronic Conditions
39
Adults aged 65 years and
older who had two
outpatient encounters
during the measurement
year and an active
diagnosis of heart failure.
Patients with patient reported functional status assessment results
(e.g., VR-12; VR-36; MLHF-Q; KCCQ; PROMIS-10 Global Health,
PROMIS-29) present in the EHR at least two weeks before or during
initial encounter and the follow-up encounter during the
year.
Practice
Fusion
Suggested
Workflow
This measure requires that patients with heart failure are given functional status
assessments at least twice a year and that the functional status results be recorded
the EHR at least two weeks before or during the first and follow-up encounter.
Functional status assessment results can be recorded in the chart note by
for and selecting the appropriate functional status assessment result in the
Screenings/ Interventions/Assessments section. Data elements for functional status
assessments can be found by searching for the assessment name as listed in the
numerator description above.

CMS90v3
Functional Status Assessment for Complex Chronic Conditions
Denominator Criteria Numerator Criteria
+ Only patients who have at least two encounters (signed chart notes) during the
measurement period (after January 1, 2014) and an active diagnosis of heart failure are
included in the denominator of this measure.
+ To be included in the denominator, the patient’s first encounter must have occurred
sometime before or within 185 days of the start of the measurement period and the
second encounter must be at least 30 days after but no more than 180 days after the
first encounter.
40
Encounter A
≤ 185 days from
start of
measurement
period
Encounter B
≥ 30 days and ≤ 180
days after
Encounter B
+
Active Diagnosis of Heart
Failure +
and
Functional
Status
Assessment
A
≤ 2 weeks
before or
during
Encounter A
Functional
Status
Assessment
B
≤ 2 weeks
before or
during
Encounter B
and

Need Individual Help with PQRS?
+ Practice Fusion is not able to offer individual guidance on choosing
PQRS measures.
+ If you have questions regarding individual measures or how PQRS
requirements apply to you, please reach out to the CMS QualityNet
Help Desk.
41
CMS QualityNet Help Desk
Phone: 866-288-8912,
TTY: 877-715-6222
Email: qnetsupport@sdps.org

PQRS
Frequently Asked Questions
42

How do I find out if I am eligible for PQRS?
A. Most health care providers who are reimbursed under the Medicare
Physician Fee Schedule are eligible for PQRS.
For additional details and a list of eligible PQRS providers go to:
http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-
Instruments/PQRS/How_To_Get_Started.html

Practice Fusion’s CQMs don’t apply to my
specialty, how will I participate in PQRS?
A. PQRS offers over 300 quality measures, which can be reporting using
various reporting mechanisms (although not all measures are available for
all reporting options.)
If you wish to use Practice Fusion, you only have the measures we support
available to use for PQRS reporting. You may report less than 9
measures if you meet the other EHR reporting criteria, but you will be
subject to the Measure Applicability Validation process which means you
may not earn the incentive (although you could avoid the payment
penalty).
Practice Fusion recommends that continue to monitor and record patient
data in the EHR if you believe the measures apply to you to see how your
CQM values adjust over the next few months, If you are a specialty
provider who wants to report PQRS measures that are not available for
EHR reporting, we suggest looking into how to reporting using other
mechanisms (claims, etc.)

Practice Fusion’s quality measures don’t apply to
my practice. Do I have to enter in data into the EHR
for these CQMs for Meaningful Use or PQRS?
A: No. Meaningful Use does not certain values, or any
value at all, in order to meet program requirements
and successfully attest. In addition, providers who
wish to participate in PQRS can choose to use the
other available reporting mechanisms (claims, registry
reporting, etc.) if they want to report CQMs that are
more applicable to their practice.

I’m participating in Meaningful Use this year, will
there be penalties if I don’t also participate in
PQRS?
A. PQRS is a separate and distinct program from
Meaningful Use. Providers who do not report for PQRS in
2014 will be subject to a 2% payment penalty –
regardless of whether or not they successfully participate
in Meaningful Use.

Does PQRS EHR Reporting apply only to
Medicare patients?
A. The EHR reporting option for PQRS requires that
providers report CQM data for all patients, regardless of
their insurance status. Providers will report data for all
patients whom the CQM applies that have data in the
EHR.

For more information on PQRS, include links to CMS
resources and other Practice Fusion PQRS materials, go to:
http://www.practicefusion.com/blog/resources
-and-faqs-on-cqms-and-pqrs/
48

Using Practice Fusion for PQRS EHR Reporting in 2014

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