Most physicians do not meet Medicare quality reporting requirements

A new Harvey L. Neiman Health Policy Institute study shows that fewer than one-in-five healthcare providers meet Medicare Physician Quality Reporting System (PQRS) requirements. Those that meet PQRS thresholds now receive a .5 percent Medicare bonus payment. In 2015, bonuses will be replaced by penalties for providers who do not meet PQRS requirements. As it stands, more than 80 percent of providers nationwide would face these penalties.

Researchers analyzed 2007-2010 PQRS program data and found that nearly 24 percent of eligible qualified for PQRS incentives in 2010—compared to 16 percent for other providers. The Neiman Institute study is published online in the Journal of the American College of Radiology.

"Near term improvements in documentation and reporting are necessary to avert widespread physician penalties. As it stands, in 2016, radiologists collectively may face penalties totaling more than $100 Million. Although not a specific part of this analysis, penalties for nonradiologists could total well over $1 Billion," said Richard Duszak, MD, and senior research fellow of the Harvey L. Neiman Health Policy Institute. "Compliance with PQRS requirements has improved each year but more physicians need to act now: their performance in 2013 will dictate penalties for 2015."

More information: www.jacr.org/article/S1546-144… (12)00473-5/fulltext

Related Stories

Recommended for you

Europe's police crack massive horsemeat trafficking ring

date Apr 25, 2015

Police from seven European countries detained 26 people in a crackdown on a horsemeat trafficking ring two years after a tainted meat scandal that rocked the continent, the EU's judicial agency Eurojust said Saturday.

Text messaging useful for reaching 'at-risk' teens about sex

date Apr 24, 2015

Text messaging that connects teens with sexual health educators is effective for delivering sexual health information, according to a recent study in The Edward R. Murrow College of Communication at Washington State University.The ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.