What’s the Difference Between Registry-Based and Claims-Based Reporting Methods for PQRS?

Today’s blog comes from WebPT Copywriters Char Bohnett and Erica Cohen.

If you pay attention to our blog posts this month, you may notice a theme. That’s because we always have themes, but this particular month is über important. For us here at WebPT, November is synonymous with PQRS prep. So we thought we’d share our vast PQRS knowledge with you, giving you all the info you need to prepare yourself for 2013.

Today, we’ll cover the two ways you can report your PQRS and how we can help.

What are the two methods for reporting PQRS?

• Registry-Based (Automatic Submission)
• This option manages most of PQRS for you. Because we merge PQRS with standard documentation, you simply report your PQRS measures directly within the patient record. We then aggregate that data, compile it into a digital format, and submit it directly to CMS. So, after setup, you document and we take care of the rest—no muss, no fuss. Essentially, registry-based reporting means you’ll never forget PQRS because we remember it for you.
• Claims-Based (Manual Submission)
• Claims-based reporting allows you to use your WebPT documentation to help you submit the appropriate CPT codes to CMS along with billing. As a note, in order to successfully complete claims-based PQRS reporting, you must report at least 50% of patients or you risk losing 1.5% of your eligible fee schedule payments in 2015.
• Some food for thought on claims-based reporting: being in control of your own data may prove to be a double-edged sword. You must be your own auditor. Of course, if you’re a smaller practice and Medicare patients make up a small portion of your payer mix, then this option may be worth considering. Otherwise, claims-based reporting will require more work, time, and responsibility for you and your clinic. It’ll be up to you to ensure you stay compliant.

What does the cost structure look like for WebPT Members?

• Registry-based reporting: annual fee of $399 (+ additional $99 for each additional location)
• Claims-based reporting: annual fee of $99 for each location

What reporting method does WebPT recommend?

We here at WebPT recommend registry-based simply because it takes all the management off your plate, reports on a minimum 80% of patients (which far exceeds Medicare’s 50% requirement), and eliminates the chance of human error. No matter which reporting method you choose, though, you’re better protecting your practice from penalties.

Set yourself up for success; sign up for Registry-Based PQRS Reporting today. It’s $299 now or an avalanche of penalties, fines, wasted time, and migraines later. Not a Member, but want our help with PQRS? Schedule a demo today to see how our documentation solution paired with PQRS can help you achieve greatness in therapy practice. Plus, you’ll earn a 0.5% incentive payment.