- How is WellCentive’s Registry-based reporting different from claims-based reporting?
- How is WellCentive’s PQRS reporting solution different from those offered by other Registry providers?
- Do I need to be user of WellCentive Registry solutions to participate in WellCentive PQRS?
- Are all providers in the practice required to participate in the WellCentive Registry?
- What data will WellCentive PQRS report on providers to CMS for 2011 PQRS?
- What measures is WellCentive PQRS capable of reporting for 2011?
- What is the 2011 time period that WellCentive will be reporting to CMS for PQRS?
- When will I be billed for WellCentive PQRS?
- What is the deadline for submitting data to WellCentive?
- If I have been submitting claims-based data to CMS, can I still use WellCentive’s Registry-based system for 2011 reporting?
- Can I get a discount if I purchase WellCentive PQRS for a group of providers?
How is WellCentive’s Registry-based reporting different from claims-based reporting?
There are many advantages to using WellCentive’s Registry-based solution instead of claims data for PQRS reporting:
- WellCentive can pull patient data from any electronic system and place it into a report that can be successfully submitted to CMS for Medicare Part B Billing. These reports replace the time-consuming process of manually completing claims forms.
- WellCentive can extract and submit your 2011 data right up until the CMS deadline in February 2012, eliminating the need to track claims throughout the year.
- WellCentive’s reporting process maximizes the value of your data by making it available for other clinical quality improvement projects within your organization. Key reports are available for most chronic illnesses and patient panels.
- Registry-based reporting allows providers to submit data on all measures. Of the 194 individual PQRS quality measures for 2011, 56 can be reported only through a Registry or GPRO.
- Form creation and submission is done for you.
- Staff productivity maintained.
- Higher potential for meeting the reporting criteria and receiving your 1% incentive bonus.
- Measures are updated automatically each year as information is provided by CMS, which keeps your staff from having to become measure experts!
In comparison, claims-based reporting has many disadvantages:
- There must by someone in the clinic who will own this project – complete billing audits, know all the ins and outs of PQRS, and keep records of the % completed throughout the year.
- Auditing process can be tedious and potentially a productivity loss for an employee.
- You must complete and submit the proper forms in the proper format for all eligible patients.
- Workload could be significant if large percentage of your patients is Medicare or if you are part of a large clinic.
- No internal automated check/balance system completed by the billing company: submits only what you give them.
How is WellCentive’s PQRS reporting solution different from those offered by other Registry providers?
- WellCentive is one of only four comprehensively certified Registry providers for 2011. This means all reporting periods are included, all individual measures and measure groups are included, and Group Practice Reporting Option (GPRO) II is an option.
- WellCentive’s wealth of experience in data aggregation delivers extensive data import capabilities for PQRS. WellCentive PQRS can pull data from any electronic system.
- WellCentive is a leader in Registry-based reporting for PQRS. We were chosen in 2007 to work with CMS to test the Registry submission process, and WellCentive is a Charter Founder Member of the CMS Registry Initiative. We have been developing a registry before the PQRI program was created, and even before the Tax Relief Act of 2006 (the precursor to PQRI).
Do I need to be user of WellCentive Registry solutions to participate in WellCentive PQRS?
No, WellCentive PQRS can be used by any provider, whether or not they use other WellCentive products and services. If you are a user of WellCentive’s Registry solutions, PQRS reporting is even more streamlined, fast and easy. The two systems are fully-integrated and complimentary.
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Are all providers in the practice required to participate in the WellCentive Registry?
No, individual providers or a subset of providers at a given practice may participate in the registry even if other providers at the practice do not participate.
What data will WellCentive PQRS report on providers to CMS for 2011 PQRS?
If a physician elects to submit to CMS using the WellCentive Registry, we will provide CMS with aggregate reporting rates and performance rates for all selected PQRS measures for that provider, regardless of reporting methodology.
What measures is WellCentive PQRS capable of reporting for 2011?
As one of only four comprehensively certified Registry providers, WellCentive can report on all measures and all measure groups, for all reporting periods. WellCentive is also qualified for Group Practice Reporting Option (GPRO) II.
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What is the 2011 time period that WellCentive will be reporting to CMS for PQRS?
WellCentive will be reporting on patient care that occurred between January 1, 2011–December 31, 2011 and/or July 1, 2011-December 31, 2011. Most WellCentive PQRS practices report for both the 12-month and 6-month reporting periods. Six-month only submissions are unusual.
When will I be billed for WellCentive PQRS?
You will not be billed for the use of our solution until January 31, 2012.
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What is the deadline for submitting data to WellCentive?
The deadline for all data submission to WellCentive for 2011 PQRS reporting is January 30, 2012.
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If I have been submitting claims-based data to CMS, can I still use WellCentive’s Registry-based system for 2011 reporting?
Yes! CMS will make incentive payment decisions based on the most complete data set received for PQRS.
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Can I get a discount if I purchase WellCentive PQRS for a group of providers?
Our PQRS team would be happy to discuss pricing – send an e-mail.
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