ACC wants to remind you that it is critical to report the Center for Medicare and Medicaid Services (CMS) Physician Quality Reporting System (PQRS) quality measures in 2013 to prevent a reduction in Medicare payments in 2015.  PQRS is a program developed to promote reporting of quality measures; it provides an incentive payment to groups that report the measures on claims submitted to Medicare for payment of physician services.  Due to changes required by the health care law (The Patient Protection and Affordable Care Act) CMS must subject providers to a payment adjustment if they are not reporting quality measures.

 

Reporting PQRS measures still pays a bonus of 0.5% through 2014.  However, in 2015 the bonus changes to a penalty of -1.5% and the next year to -2% reduction in payment for Medicare covered services for groups that are not satisfactorily reporting claims data.  The reporting figure for 2013 will be used to determine the adjustment for 2015.

 

For more information go to:  CMS PQRS Program.

 

The ASA Grassworks Network noted an interesting development last Friday. CMS is proposing changes in the way that PQRS measures are reported that will automatically result in anesthesia payment reductions. Please follow the next link to get vital information.  Your response to the CMS by Friday, September 6, 2013 regarding the change can impact your payment reduction for 2016.