A Physician Quality Reporting System uses payment adjustments to incentivize healthcare professionals participating in Medicare to report data on their quality measures.
The quality measures cover services in the Physician Fee Schedule which are provided as part of Medicare Part B. They were developed to deal with the gaps in the quality of care Medicare patients face and cover aspects of care such as healthcare processes, organizational structures, and outcomes.
Examples of quality measures include:
- Preventive care and screening: tobacco use
- Diabetes: Hemoglobin A1c poor control
- Documentation and verification of the current medications in the medical record
Participating physicians report on their quality measures to the Centers for Medicare and Medicaid Services.