PQRS: Deadlines for Reporting Measures for 2015

Feb 26, 2016 - Feb 26, 2016 09:00 PM


The Physician Quality Reporting System (PQRS) is a quality reporting program by the Centers for Medicare & Medicaid Services (CMS) that uses negative payment adjustments to promote reporting of data on quality measures. The Value-Based Payment Modifier (VBM) program is a separate CMS program that assesses quality and cost performance. The VBM is based partially on participation in PQRS. Under the VBM program, physicians are subject to upward, neutral, or downward payment adjustments based on quality of care furnished compared with the cost of care during a performance period.

All solo physicians and group practices who get paid under or based on the Medicare Physician Fee Schedule must comply with quality reporting requirements on an annual basis. Failure to report data on quality measures to Medicare for the 2015 PQRS program year will result in an automatic 2-percent pay cut under PQRS, plus another automatic 2-percent to 4-percent pay cut under the VBM program, all in 2017.

CPMA Members can find important deadlines assistance here.