EXTENDED: Deadline to Request 2015 PQRS Informal Review Before 2017 Reimbursement Penalties Kick-in Now Dec 7

Dec 07, 2016 - Dec 07, 2016 08:59 PM

 

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. CMS has just announced (Dec 1) that physicians who have concerns about the findings in their report(s) have until December 7 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 in 2015 will result in a 2 percent penalty in 2017. VM penalties can range from 1 to 4 percent, depending on the size of the practice and its performance on cost and quality measures. PQRS penalties will be communicated to physicians by mail as well as in the PQRS feedback reports posted on the CMS website. VM penalties can be found in the Quality and Resource Use Reports (QRUR), which are only posted on the website.

CPMA Members please log in for more information

Downloads