Thursday, December 19, 2013

Still Time to Avoid the 2015 PQRS Payment Adjustment

Centers for Medicare & Medicaid Services

Still Time to Avoid the 2015 PQRS Payment Adjustment

If you are considered eligible and able to participate in the Physician Quality Reporting System (PQRS), you may be subject to payment adjustments beginning in 2015.

Eligible professionals (EPs) and group practices that fail to satisfactorily report data on quality measures during the 2013 program year will be subject to a 1.5% payment adjustment of their Physician Fee Schedule (PFS) charges beginning in 2015.

If you and/or your group practice are not planning to meet the requirements to earn an incentive for satisfactorily reporting in 2013, and did not elect the administrative claims-based reporting option, you can still avoid the adjustment by doing the following:

Individual EPs
EPs can avoid the 2015 payment adjustment if they report at least:

  • One valid measure via claims, participating registry, or through a qualified Electronic Health Record (EHR) OR
  • One valid measures group via claims or participating registry

Group Practices
Group practices participating in the GPRO can avoid 2015 payment adjustments if they report at least:

Report By December 31
These criteria must be met during the 2013 PQRS program year, January 1-December 31, 2013. Take action by December 31 to avoid the 2015 payment adjustment!

Resources
View the PQRS Payment Adjustments Tip Sheet for more information on how to avoid the 2015 payment adjustment.

For more information or support on the PQRS program, please visit the PQRS Incentive Program website or the Help Desk.

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

This e-mail was sent to sononui.mark@blogger.com using GovDelivery, on behalf of the Centers for Medicare & Medicaid Services (410-786-5473) · 7500 Security Boulevard · Baltimore MD 21244

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