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The Difference Between PQRS Individual EP and Group Practice Reporting
The Physicians Quality Reporting System prior to 2010 only accommodated reporting by individual eligible professionals (EPs) through specified reporting channels. In 2010, through the enforcement of section 1848(m) (3) (C) of the Social Security Act (the Act), the Centers for Medicare and Medicaid Services (CMS) added a group practice reporting option (GPRO) to the PQRS program that opened the doors for group practices to do their reporting as a group rather than individual EPs. With the addition of the GPRO…
ICD-10: Transitioning from Fiction to Fact
It’s a running fact that the ICD-10 train is about to leave the station, and those that aren’t on board may be in for some challenging times ahead. It’s however a rather prevalent fiction that a lot about ICD-10 is flexible and therefore will not bear down on providers once the deadline passes. These two perspectives may seem like an oxymoron but in reality, they are a dual reality that many eligible professionals and entities are living in as the…
How to Avoid Negative Payment Adjustments on the CMS PQRS Program
The Centers for Medicare and Medicaid Services, the custodian of the Physician Quality Reporting System (PQRS) has in 2015 initiated a raft of changes in the incentive program that will see Eligible Professionals incur negative payment adjustments in 2016.The PQRS program, which has been in force since 2007, is a pay-to-report incentive program that the CMS initiated through legislative precedence to encourage eligible professionals within the medical industry to report on measures defined by the CMS in collaboration with other…
How to Select Which PQRS Measures to Report On A Case-By-Case Basis
The EHR Physicians Quality reporting System or PQRS is a pay-to-report incentive program initiated by the CMS under the Electronic Health Records (EHR) Incentive programs. The program pays qualifying EPs or eligible professionals an incentive equivalent to 0.5% of their total estimated Medicare Part B PFS allowed charges for covered professional services furnished during that same reporting period.However, in order to successfully report measures related to your practice, you must first understand how to pick the measures that best fit…