How to Avoid a 2016 Negative Payment Adjustment


In 2016, CMS will apply a negative payment adjustment to individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, and group practices participating in the Physician Quality Reporting System (PQRS) group practice reporting option (GPRO) (including Accountable Care Organizations [ACOs]) who did not satisfactorily report PQRS in 2014. Individuals and groups who receive the 2016 negative payment adjustment will not receive a 2014 PQRS incentive payment.

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