2016 PQRS Quality Submission Services (QSS

TIMEFRAME**
TASKS**
What can I be doing
now?
Prepare
Target completion by
December 31st 2016
Complete Technical Pre-work
 Upgrade to appropriate service pack
(as of May 2016 we recommend the minimum of CPS 12.0 SP 11 or EMR 9.8 SP 11)
 Update to the latest month’s EMR Knowledgebase
Authorize Submission
 Select measures and Authorize provider(s) and/or GPRO
 Confirm completion of authorizations
 Install CQR
 Monitor clinical quality measures in CQR
 Assign/Confirm Source of Payment (SOP) codes for all insurance carriers
 Join the MQIC consortium (if you are not an existing member)
 Prepare for and/or perform technical pre-work (see below)
Choose Your PQRS Submission Method
Now through
 Investigate and choose your PQRS submission method
June 30th 2016
 Register on the CMS PQRS GPRO registration page by June 30th if submitting as GPRO. Select the
“Electronic Health Record (EHR)” reporting mechanism.
August 2016 – January Enroll in QSS: Automated Process in CQR
 Select to enroll in QSS in CQR
13th 2017
 Submit QSS Agreement online
 Sign and return the QSS Contract Order to sales (requires manual submission)
 Enter/Validate provider information in CQR and request consent forms (if necessary)
Early January February 3, 2017
Rev. June 13th, 2016
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GE Healthcare Submits
 Receive confirmation email from GE Healthcare of the PQRS submission to CMS
 Validate confirmation email provider list reflects expected submissions
Prepare
GE Support: 1-888-436-8491, Option 2, Option 3 –OR- appropriate Value-Added Reseller support line.
RequestHelp
Install CQR
PQRS
QualityinNet:
 Monitor clinical CMS
quality
measures
CQR1-866-288-8912 –OR- [email protected]
 Assign/Confirm Source of Payment (SOP) codes for all insurance carriers
 Join the MQIC consortium (if you are not an existing member)
 Prepare for and/or perform technical pre-work (see below)
By February 28, 2017
2016 PQRS Quality Submission Services (QSS) Checklist
**Please note this checklist is posted on the Quality Reporting Community and may be updated periodically. These tasks assume participation with QSS.
Install CQR
1. Contract with GE Healthcare or your Value Added Reseller.
GE Email: [email protected]
2. With a signed contract, a GE Healthcare Install Consultant can be scheduled to perform the install of CQR and the Qvera Interface
Engine, QIE. QIE is a required component to export your data to CQR.
3. An EMR Consultant will provide an introductory education on the use of CQR.
Monitor clinical quality measures in CQR

Regularly refresh calculations in CQR and work with your provider(s) to help them improve their results for the Clinical Quality
Measures (CQMs). The Meaningful Use (MU) and PQRS CQMs use the same calculation logic so the CQR dashboard applies to both
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
programs. The Quality Reporting Guide will provide workflows and measure data requirements for meeting each measure. This user
guide is located on our Quality Reporting Community and is updated monthly so check back regularly for updates.
o CPS Quality Reporting Guide: PDF format or .chm Help File format
o CEMR Quality Reporting Guide: PDF format or .chm Help File format
Begin to identify the measures each provider will use or narrow down your best options. Our PQRS FAQ answers questions regarding
CMS guidance on how many measures to choose, etc.
o CPS: PQRS FAQ
o CEMR: PQRS FAQ
Assign / Confirm Source of Payment (SOP) codes for all insurance carriers
1. CMS requests data for all payers in PQRS submissions. The SOP code serves as a standard payer code across all submitters.
2. SOP codes were created by the Public Health Data Standards Consortium (PHDSC) and their Source of Payment Typology code set
and Users Guide 6.0 may be used as guidance in assigning SOP codes.
3. The registration fields required to assign SOP codes to insurance carriers or plans was introduced in CPS 12.0.7 and CEMR 9.8.7.
4. Reference our GE SOP FAQ for more information.
o CPS: Mapping Source of Payment Codes
o CEMR: Mapping Source of Payment Codes
Note: Any significant changes to SOP codes made during the reporting period may require resending of date to CQR. Call GE Healthcare
support at 888-436-8491 (Option 2, Option 3) or your Value Added Reseller for assistance.
Join the MQIC consortium (if you are not currently a member)
1. Read our Medical Quality Improvement Consortium (MQIC) FAQ and Agreement.
o CPS: MQIC FAQ and Agreement
o CEMR: MQIC FAQ and Agreement
2. Sign agreement and deliver to GE Healthcare per instructions in FAQ.
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Note: A new MQIC Agreement is not required each year. If you are unsure whether you are already an MQIC member, you can verify by
Choose Your PQRS Submission Method
 Investigate and choose your PQRS submission method
 Register on the CMS PQRS GPRO registration page by June 30th if submitting as GPRO. Select the “Electronic Health Record (EHR)”
reporting mechanism.
having someone that has the Quality Champion or Admin role sign into CQR. If they have access to the MQIC tab they are an existing
MQIC member and there is no need to sign another MQIC Agreement.
Prepare for technical pre-work
Reference our section on technical pre-work and prepare by researching your options, budgeting for the time and cost of upgrades, etc.
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Investigate and choose your PQRS submission method
1. Choose your PQRS submission reporting option. GE supports PQRS via QSS using the Electronic Health Record (EHR) Reporting
option as a Data Submission Vendor (DSV) and is the assumed reporting method for this checklist. Reference our GE PQRS FAQ and
CMS PQRS materials directly for information on the different PQRS submission methods. The measures available and the program
requirements vary based on the reporting option chosen.
o CPS: PQRS FAQ
o CEMR: PQRS FAQ
2. Choose whether you’ll report as an individual provider (EP) or as a group practice (GPRO). While individual EPs do not need to sign
up or pre-register with CMS in order to participate in PQRS, group practices wishing to participate via the Group Practice Reporting
Option (GPRO) must register with CMS prior to June 30th, 2016. QSS supports both EPs and GPRO.
Register on the CMS PQRS GPRO registration page
1. Register on the CMS PQRS GPRO registration page by June 30th, 2016 if submitting as GPRO rather than individual eligible
professionals. Choose the “Electronic Health Record (EHR)” reporting mechanism if reporting via QSS.
Note: GE only supports GPRO via our QSS program. We cannot provide GPRO files for self-submission. We also don’t support
submissions where customers were on different EMRs during the reporting year.
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Enroll in QSS: Automated Process in CQR
 Select to enroll in QSS in CQR
 Submit QSS Agreement online
 Sign and return the QSS Contract Order to sales (requires manual submission)
 Enter/Validate provider information in CQR and request consent forms (if necessary)
Select to enroll in QSS in CQR ** starting on July 29th 2016 **
A Quality Champion or Admin role resource signs in to CQR and navigates to the MQIC tab.
Select the PQRS 2016 program.
Select the Enroll button.
Enter organization and primary contact information. Primary contact email is used to send a link to the online QSS Agreement.
Enter the estimated number of individual and GPRO providers. For example, if 10 individual providers will be participating, enter 10
for individual and 0 for GPRO.
6. Choose Save.
7. Choose the Send Agreement button.
1.
2.
3.
4.
5.
Note: For help or additional information with the process, please access our online help via the Need Help button at the top of the screen.
Navigate to the Premium Features, managing the QSS process.
Submit QSS Agreement online
1. Go to primary contact’s email, go to the linked QSS Agreement, and sign the agreement.
2. In approximately 3 hours, your enrollment status should state “Enrolled” and your list of providers will be available to work with.
Sign and return the QSS Contract (a.k.a. Order) to sales
1. The QSS primary contact will receive a QSS contract via email for the number of estimated providers enrolled.
2. Sign the contract and follow instructions on the contract to send it back to GE sales.
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Enter / Validate provider information in CQR and request consent forms
1. For providers that participated in QSS for the 2015 reporting year: Validate their NPI and TIN. If their NPI and TIN remain accurate and a
consent form was already signed, no further action is required for that provider since the 2015 electronic consent form remains in effect.
2. For providers that did not participate in QSS for the 2015 reporting year: Enter or validate each provider’s NPI, TIN, email address, and
name.
o NPI and TIN numbers are required in the PQRS submission to CMS. CMS only accepts one submission per NPI/TIN
combination. A provider's NPI will import from the EMR into CQR, but the TIN must be manually entered. For groups
reporting via GPRO, each individual provider's TIN must be identical to the GPRO's TIN in order to be included in the GPRO
calculations.
o Email addresses in CQR are used to send electronic consent forms to the participating providers to sign. Email addresses are
not populated by your EMR.
o Provider names are imported from your email. In many cases, the provider’s credentials are included in their last name.
When you request a Consent Form for any provider, our online form vendor, Docusign, uses an electronic signature that
consists of the provider’s initials that are based on the first letter in the first and last name fields in the CQR provider name
fields plus the first letter follow a space. For instance, Joe Jones M.D., where first name is Joe and last name is Jones M.D.,
Docusign would use the initials of JJM. For any provider that would not agree to such initials should have their credentials
removed from their last name field in CQR prior to requesting a Consent Form.
On the MQIC tab, each provider in the list will show a message if additional information is required (i.e. Missing NPI or Missing TIN). For
each provider that plans to participate in QSS but shows as needing information, select an individual or group of providers and click Update
Selected Providers. Once NPI, TIN, emails, and names are accurate the send consent form button may be chosen.
Once a provider’s information is complete and consent form is signed, nothing should show to the right of the provider’s name.
Note: For help or additional information with the process, please access our online help via the Need Help button at the top of the screen.
Navigate to the Premium Features, Update provider table section.
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Possible Consent Form Statuses:
Completed – provider has signed the consent form
Pending – the consent form has been emailed but has not been signed and submitted
Rejected – provider declined signing the consent form
Undeliverable – the request could not reach the intended recipient mailbox (email address is not valid)
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Complete Technical Pre-work
 Upgrade to appropriate service pack
(as of May 2016 we recommend the minimum of CPS 12.0 SP 11 or EMR 9.8 SP 11)
 Update to the latest month’s EMR Knowledgebase
Upgrade to appropriate service pack
As of May 2016 we recommend the minimum of CPS 12.0 SP 11 or EMR 9.8 SP 11.
1. Contract with GE Healthcare or your Value Added Reseller.
GE Email: [email protected]
Update to the latest month’s EMR Knowledgebase (KB)
Keep up-to-date on the monthly full and incremental KB updates. These updates occasionally include new value-set mappings that can
impact measures depending on your workflows and terms used. See the Mapping Data for Meaningful Use chapter in the Quality Reporting
Guide and our KB release notes that are published with every KB update for more information.
o CPS: KB Downloads and Release Notes
o CEMR: KB Downloads and Release Notes
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Authorize Submission
 Select measures and Authorize provider(s) and/or GPRO
 Confirm completion of authorizations
Select Measures and Authorize Provider(s) and/or GPRO
1. Before you begin this process, make sure that you have requested measure calculations for the full reporting year and the
calculations are available on the dashboard.
2. A Quality Champion or Admin role resource signs in to CQR and navigates to the MQIC tab.
3. Select a provider, multiple providers, or GPRO, and click Select Measures and Authorize.
o This window displays the last calculation or last Full Year calculation. If you want a more recent calculation, then exit this
window and leave this authorization workflow. Recalculate the measures and wait for the results (can take up to 24 hours),
and then return to this authorization workflow.
4. If you selected one provider, select measures and click Authorize Selected Measures and click Done.
5. If you selected multiple providers, select measures and click Authorize Selected Measures for the first provider. Click Next Provider,
select measures for the second provider and click Authorize Selected Measures. Continue this process until you finish with the last
provider and click Done.
6. An authorization status of processed next to the provider’s name indicates that a QRDA file has been produced for GE Healthcare to
use to submit to CMS. Customers do not have access to this specific QRDA file.
o Customers may use the View Authorization link to display the measure selection screen again during the CMS attestation
period.
o Customers will also be able to use the Archive report range on each provider’s dashboard for longer term viewing purposes.
This view includes patient lists that will be valuable during audits.
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Note: For help or additional information with the process, please access our online help via the Need Help button at the top of the screen.
Navigate to the Premium Features, Select Measures and Authorize section.
Confirm completion of authorizations
When you are finished selecting measures for all providers and completed all authorizations, scroll down to the Confirm Completion of
Authorization section and select the check box for Authorization of providers and GPROs. Selecting this confirmation check box:
o Indicates that authorizations are complete for the entire organization and GE Healthcare can begin submissions to CMS.
o Prevents additional providers from being added for authorization.
o Displays the MQIC tab and Provider List in "View Only" mode.
o Still allows you to click the hyperlink, "View Authorization".
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GE Healthcare Submits
 Receive confirmation email from GE Healthcare of the PQRS submission to CMS
 Validate confirmation email provider list reflects expected submissions
Receive confirmation email from GE Healthcare
GE will send a confirmation email to the QSS primary contact specified during QSS enrollment. This email will include a list of providers or GPRO that GE
submitted PQRS data to CMS for, a CMS batch number that CMS provided to GE as confirmation of receipt of the file, and the submission status of either
success or rejection.
Validate confirmation email provider list reflects expected submissions
1. Confirm that the list of providers contained in the confirmation email match the providers you authorized. If any provider(s) or
GPRO have a rejected status, you should have been notified by GE of the rejection in advance of the confirmation email.
2. Call GE support or your Value Added Reseller if you have questions on the confirmation email or if you disagree with the information
provided prior to February, 24th, 2017 to allow time for GE to resubmit data prior to the CMS reporting deadline if that is necessary.
3. Keep the confirmation email and provider list in your PQRS audit file for future reference.
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Document Changes
May 2nd, 2016
June 13th, 2016
Checklist summary page created.
- Task detail pages added.
- Added help contact information and other minor changes to summary page
tasks.
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All rights reserved.
Proprietary and Confidential.
Rev. June 13th, 2016