2016 PQRS Measures Relevant to Clinical Social Workers

Clinical social workers (LCSW) have 2 registry options for reporting PQRS:

  1. Measures groups - it is easier for a provider to report 2016 PQRS with measures groups because a provider only needs to report 20 patients - 11 of which must be Medicare Part B.
  2. 9 PQRS measures across 3 domains or if less than 9 measures, a provider will need to pass the MAV. To pass the MAV, the provider needs to make sure that if a measure belongs to a PQRS cluster, all other measures inside that cluster are also reported (at least one measure must be cross-cutting if a provider bills Medicare for face-to-face encounters). For example, when reporting measure #134, the provider also needs to report measure #130 and measure #226 (General Care Cluster). Measures that could be reported by a Social Worker include (with domain names):

 

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