CMS implementing physician quality reporting system

June 21, 2013
CMS implementing physician quality reporting system
To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services.

(HealthDay)—To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services (CMS).

Physician Quality Reporting, mandated by federal legislation, was established to increase reports of data on quality measures for covered Physician Fee Schedule services provided to Medicare Part B Fee-for-Service beneficiaries. Requirements and measure specifications are specific for the current year.

According to the report, eligible professionals may choose to report information on individual Physician Quality Reporting measures or measure groups in order to participate in the 2013 Physician Quality Reporting. These include reporting to CMS on their Medicare Part B claims; to CMS via a qualified electronic health record product; or to a qualified Physician Quality Reporting registry or data submission vendor. Eligible physicians who submit data via one of these methods will qualify for an incentive payment, equivalent to 0.5 percent of their total estimated part B Physicians Fee Schedule allowed charges for covered services provided during the reporting period. A group practice may also potentially qualify for incentive payments based on their meeting criteria for satisfactory reporting as specified by CMS.

"The Physician Quality (Physician Quality Reporting or PQRS) is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals," according to CMS. "Beginning in 2015, the program also applies a payment adjustment to eligible professionals who do not satisfactorily report data on quality measures for covered professional services."

Explore further: Most physicians do not meet Medicare quality reporting requirements

More information: More Information

Related Stories

Most physicians do not meet Medicare quality reporting requirements

January 8, 2013
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 ...

Most docs able to explain gaps in quality of rheumatology care

February 15, 2013
(HealthDay)—Data from the Physician Quality Reporting System (PQRS) for osteoporosis and rheumatoid arthritis (RA) care in Medicare fee-for-service beneficiaries show that up to one-quarter of physicians provided reasons ...

Multiple procedure payment reduction policy needs work

April 12, 2013
(HealthDay)—Current Centers for Medicare and Medicaid Services (CMS) multiple procedure payment reduction (MPPR) policy overestimated the work efficiencies in physician services when same-session, multiple imaging services ...

Internists respond to SFC with ideas on how to make improvements following repeal of SGR

May 31, 2013
The American College of Physicians (ACP) today provided 19 specific recommendations, supporting evidence and implementation details on how to improve the Medicare physician fee schedule and the fee-for-service (FFS) system ...

Quality of care measures improve performance

March 4, 2013
Public reporting of how physicians and hospitals perform in quality of care measures leads to improved care for patients. A collaborative team of researchers led by Geoffrey C. Lamb, M.D., professor of internal medicine at ...

Internists say physician-led quality initiatives could be solution to Medicare payment problems

July 24, 2012
"Repeal of Medicare's Sustainable Growth Rate (SGR) is essential, but repeal by itself will not move Medicare to better ways to deliver care," David L. Bronson, MD, FACP, president of the American College of Physicians (ACP), ...

Recommended for you

Despite benefits, half of parents against later school start times

August 18, 2017
Leading pediatrics and sleep associations agree: Teens shouldn't start school so early.

Doctors exploring how to prescribe income security

August 18, 2017
Physicians at St. Michael's Hospital are studying how full-time income support workers hired by health-care clinics can help vulnerable patients or those living in poverty improve their finances and their health.

Schoolchildren who use e-cigarettes are more likely to try tobacco

August 17, 2017
Vaping - or the use of e-cigarettes - is widely accepted as a safer option for people who are already smoking.

Federal snack program does not yield expected impacts, researchers find

August 17, 2017
A well-intentioned government regulation designed to offer healthier options in school vending machines has failed to instill better snacking habits in a sample of schools in Appalachian Virginia, according to a study by ...

In a nutshell: Walnuts activate brain region involved in appetite control

August 17, 2017
Packed with nutrients linked to better health, walnuts are also thought to discourage overeating by promoting feelings of fullness. Now, in a new brain imaging study, researchers at Beth Israel Deaconess Medical Center (BIDMC) ...

Study shows cigarette makers shifted stance on nicotine patches, gum

August 17, 2017
The use of nicotine patches, gum, lozenges, inhalers or nasal sprays—together called "nicotine replacement therapy," or NRT—came into play in 1984 as prescription medicine, which when combined with counseling, helped ...

0 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.