PQRS - Incentive

 Physician Quality Reporting System (PQRS)

 PQRS and Your Practice

Bonuses available now, but you must start reporting in 2013 to avoid a penalty in 2015.

PQRS

• Earlier referred to as Physician Quality Reporting Initiative (PQRI)
• Requires both NPI and tax ID number
• Pay-for-reporting, not pay-for-performance
• Initially required CPT II or “G” codes along with billing codes on claims; now there are four ways to participate
• Registry participation is the most promising path for small- and medium-sized practices
• PQRS is not a substitute for local quality improvement efforts

 PQRS Reporting Options

• Medicare Part B claims-based reporting (CPT II or G codes)
• Reporting to a CMS-approved registry
• Via qualified electronic health record product
• EHR data reporting through a qualified Physician Quality Reporting data submission vendor 

 

Bonuses & Future Penalties 

Bonuses & Future Penalties
Bonuses & Future Penalties: 2013	0.5 % if no MOC; 1% if MOC*
Bonuses & Future Penalties: 2014	0.5%
Bonuses & Future Penalties: 2015	-1.5% if no successful reporting for 2013
Bonuses & Future Penalties: 2016	-2%

 

 

For more details contact:

HPP – Accuchecker  at 305-227-2383

psilben@hppcorp.com