Register for ASH's December 18 Webinar on the Final Medicare Hospital Outpatient and Physician Payment Rules
The Centers for Medicare & Medicaid Services (CMS) has released its final 2014 Physician Fee Schedule and Hospital Outpatient Prospective Payment System rules. ASH will host a webinar on Wednesday, December 18, at 8:00 p.m. ET, detailing the key issues and impact the final rules will have on hematology. The webinar will be hosted by the chair of the ASH Subcommittee on Reimbursement, Samuel Silver, MD, PhD, MACP, with presentations by ASH's policy consultants Ellen Riker and Bernard Patashnik. The webinar will include a Q&A section.
Physician Quality Reporting System
The Physician Quality Reporting System (PQRS) provides incentive payments to eligible physicians and other practitioners who satisfactorily report data on quality measures for covered services furnished during a reporting period, which is typically one year. The Center for Medicare and Medicaid Services (CMS) is providing a 0.5 percent incentive payment in 2013 – 2014 for successfully reporting PQRS measures. A penalty consisting of a 1.5 percent payment reduction will begin in 2015 for those who do not satisfactorily submit quality data in 2013.
View ASH's PQRS and PQRSPro webinar to learn more details about obtaining the incentive payment or avoiding the penalty using and how to report quality metrics using the ASH PQRSPro Registry System.
PQRS-Related Calls and Webinars from CMS
CMS Finalized Policies for the Physician Value-Based Payment Modifier under the Medicare Physician Fee Schedule 2014 Final Rule
Tuesday, December 2, 1:30 - 3:00 p.m. ET
This presentation will discuss how CMS plans to continue to phase in and expand application of the value-based payment modifier (VM) in 2016 based on performance in 2014. The presentation will also describe how the VM is aligned with the reporting requirements under the Physician Quality Reporting System (PQRS). A question and answer session will follow the presentation. Continuing education (CE) credit will be available for this call. Register for this call.
2014 Physician Fee Schedule Final Rule: Quality Reporting in 2014
Tuesday, December 17, 1:30 - 3:00 p.m. ET
This presentation covers program updates to the Physician Quality Reporting System (PQRS). In particular, this call includes details on how an eligible professional (EP) or group practice can meet the criteria for satisfactory reporting for the 2014 PQRS incentive and 2016 PQRS payment adjustment. In lieu of satisfactory reporting, the call also covers how to meet the criteria for satisfactory participation under the new qualified clinical data registry option, which will be implemented in 2014 as a result of the American Taxpayer Relief Act of 2012. In addition to the PQRS, this presentation contains additional program updates to the Electronic Health Record (EHR) Incentive Program and Physician Compare. A question and answer session follows the presentation. Register for this call.
Current Resources from CMS
2013 PQRS Program Participation Fact Sheet
CMS has released a new fact sheet on participating in the 2013 PQRS program. The PQRS Overview fact sheet outlines information on how to participate in PQRS, as well as steps for selecting quality measures and reporting methods. Eligible professionals can also learn more about incentive payments for satisfactory reporting, payment adjustments beginning in 2015, and how to access and view feedback reports. The fact sheet also provides information on the Maintenance of Certification and Value Based Payment Modifier (VBPM) programs.
Request a Review of 2012 PQRS Participation Results
Eligible professionals (EPs), designated support staff/vendors, and group practices who submitted data for the 2012 Physician Quality Reporting System (PQRS) program can now request to have an informal review of their 2012 PQRS reporting performance.
An informal review may be requested if the feedback report reveals that the EP or group practice did not earn the 2012 PQRS incentive payment when they believe they should have, or when they believe the payment amount was incorrect. Informal review requests will be accepted from November 1, 2013 through February 28, 2014.
In order to request an informal review of 2012 PQRS performance, CMS must receive a valid informal review request via the web-based tool, Quality Reporting Communication Support Page by selecting "Create Informal Review Request."
The ASH PQRSPro Registry System is a tool developed to facilitate the aggregation and submission of quality measure data to the Centers for Medicare & Medicaid Services Physician Quality Reporting System (PQRS). View a tutorial on how to report quality data using PQRSPro.
These clinical performance measures are designed for individual quality improvement. Some of the measures may also be appropriate for accountability if appropriate sample sizes and implementation rules are achieved.
The CMS website's PQRS section has numerous useful links and documents.