Physicians have until December 1 to dispute 2016 PQRS and QRUR findings The Centers for Medicare and Medicaid Services (CMS) recently released data that indicates which physicians will be subject to the 2018 payment penalties associated with the Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier (Value Modifier) programs. Physicians who have concerns about the findings in their report(s) have until December 1, 2017, to file for an informal review of their data. The penalties stem from policies in effect prior to the enactment of the Medicare Access and CHIP Reauthorization Act (MACRA). Failure to successfully report on PQRS in 2016 ... October 13, 2017 Medicare Medicare, Physician Quality Reporting System, PQRS, Quality Reporting, Value-Based Payment Modifier 0 0 Comment Read More »
CMS National Provider Calls include discussions on PQRS and Physician Compare in September The Centers for Medicare and Medicaid Service’s (CMS) September 2017 National Provider Call topics include the Physician Quality Reporting System (PQRS) on September 26 and on Physician Compare on September 28. PQRS provider call: While 2016 was the last program year for PQRS and the final data submission time frame for reporting 2016 PQRS quality data to avoid the 2018 payment penalty was January through March 2017, this call will cover PQRS penalties, feedback reports, and the informal review process for 2016 results and 2018 payment adjustment determinations. For more information ... September 27, 2017 Medi-Cal, Medicare CMS, Physician Compare, Physician Quality Reporting System, PQRS 0 0 Comment Read More »
Are you exempt from ICD-10 PQRS penalties in 2016? On October 1, 2016, new ICD-10 code sets went into effect that will impact the ability of the Centers for Medicare and Medicaid Services (CMS) to process data reported on certain quality measures for the fourth quarter of 2016. Because of this, CMS announced that it will waive 2017 or 2018 Physician Quality Reporting System (PQRS) payment adjustments, if applicable, for any physician or group practice that fails to satisfactorily report for 2016 solely as a result of the impact of ICD-10 code updates on quality data reported for ... February 13, 2017 General CMS, Centers for Medicare and Medicaid Services, ICD-10, Physician Quality Reporting System, PQRS 0 0 Comment Read More »
Physicians have until November 30 to dispute 2015 PQRS and QRUR findings The Centers for Medicare and Medicaid Services (CMS) recently released data that indicates which physicians will be subject to the 2017 payment penalties associated with the Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier (VM) programs. Physicians who have concerns about the findings in their report(s) have until November 30 to file for an informal review of their data. The penalties in question stem from policies in effect prior to the enactment of the Medicare Access and CHIP Reauthorization Act (MACRA). Failure to successfully complete required PQRS reporting ... November 14, 2016 Managed Care, Medi-Cal, Medicare Quality Reporting, Medicare, Physician Quality Reporting System, PQRS 0 0 Comment Read More »
CMS extends Physician Compare preview period The Centers for Medicare and Medicaid Services (CMS) has extended the Physician Compare preview to November 16, 2015, to allow more time for physicians to preview their data for the 2014 quality measures that will be reported on the Physician Compare website later this year. The Affordable Care Act required CMS to create a website that would allow consumers to search for and compare physicians and other health care professionals who provide Medicare services. That site—the "Physician Compare" website, initially launched in 2010—provides contact information, specialties and clinical training, hospital ... November 9, 2015 Medi-Cal, Medicare Medicare, Physician Compare, Physician Quality Reporting System, PQRS, CMS 0 0 Comment Read More »
CMS announces 30-day period of Physician Compare On October 5, 2015 The Centers for Medicare and Medicaid Services (CMS) opened the 30-day preview period on October 5, 2015 for the 2014 quality measures that will be reported on the Physician Compare website later this year. The Affordable Care Act required CMS to create a website that would allow consumers to search for and compare physicians and other health care professionals who provide Medicare services. That site—the "Physician Compare" website, initially launched in 2010—provides contact information, specialties and clinical training, hospital affiliations and group practice information. In 2014, the ... October 31, 2015 Medicare Physician Quality Reporting System, PQRS, Quality Reporting, Centers for Medicare and Medicaid Services 0 0 Comment Read More »
CMA updates physician guide to getting started with PQRS The California Medical Association (CMA) has just updated the “2015 PQRS and Value-Based Modifier Getting Started Guide,” free for physician members. The Medicare Physician Quality Reporting System (PQRS) was federally mandated by legislation and requires physicians to report quality information to Medicare or suffer a fee reduction in 2015. This guide will assist physicians in determining how to proceed with successful reporting. Contact: Michele Kelly, (213) 226-0338 or mkelly@cmanet.org. April 8, 2015 Medicare Physician Quality Reporting System, PQRS, Valued-Based Payment Modifier, Medicare 0 0 Comment Read More »
CMS extends PQRS reporting deadline for some reporting methods The Centers for Medicare and Medicaid Services (CMS) has extended the submission deadlines for two Physician Quality Reporting System (PQRS) reporting methods from February 28 to March 20 at 8 p.m., EST. The two affected reporting methods are: Direct electronic health record (EHR) submission or submission via a vendor using certified EHR technology Qualified clinical data registry (using the QRDA III format) reporting for PQRS and the clinical quality measure component of meaningful use for the EHR Incentive Program Submission timeframes for other PQRS reporting ... March 9, 2015 Medi-Cal, Medicare EHR, Physician Quality Reporting System, PQRS, CMS, Meaningful Use 0 0 Comment Read More »
Physicians have until Feb. 28 to review 2013 PQRS payments and penalties The Centers for Medicare and Medicaid Services (CMS) announced last week that physicians who believe they received an incorrect Physician Quality Reporting System (PQRS) payment penalty can now use the new Look Up tool to verify information without calling the CMS Help Desk. The PQRS Look Up tool uses the same information that the CMS Help Desk accesses to verify whether a physician is subject to the 2015 PQRS payment adjustment, or if he or she should have received a 2013 PQRS incentive. To utilize the tool, physicians need to ... February 23, 2015 Medi-Cal, Medicare CMS, Physician Quality Reporting System, PQRS, Centers for Medicare and Medicaid Services 0 0 Comment Read More »
