PQRS


Ask Able: Do my clinicians need to submit PQRS next year if they aren’t eligible for MIPS?

This is one of the most common questions that we are getting this week, so here’s the quick answer: Regardless of your eligibility for the Merit-Based Incentive Payment System (MIPS), if you are an Eligible Professional under the Physician Quality Reporting System (PQRS) for the 2016 performance year, you will have to submit PQRS data […]

By Able Health on November 2, 2016


MIPS vs. PQRS: Reporting requirements for the MIPS Quality Performance Category

This post was updated based on the Quality Payment Program final rule on October 24, 2016. The Centers for Medicare and Medicaid Services (CMS) recently released the much-anticipated final rule that offers details on how CMS will implement many of the key quality- and payment-related provisions of the Medicare Access and CHIP Reauthorization Act of […]

By Able Health on May 9, 2016


Are you a MIPS eligible clinician? Diving into the MACRA Quality Payment Program final rule

This post was updated based on the Quality Payment Program final rule on October 24, 2016. When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was passed in April 2015, it revolutionized how Medicare would make payments to physicians—but it also resulted in a lot of questions about how these new payment mandates […]

By Able Health on May 1, 2016


Need to know: PQRS registry reporting in 2016

As we kick off the final year of the Physician Quality Reporting System (PQRS) in 2016, there may be some physicians and other PQRS eligible providers looking forward to saying goodbye to this program forever. Those sentiments may be a bit premature however, since recent legislation has indicated that while the PQRS program in its […]

By Emily Richmond, MPH on January 27, 2016


How MACRA, MIPS, and APMs will impact your Medicare payments

The Medicare Access and CHIP Reauthorization Act (MACRA) has been a newsworthy topic since it was signed into law in April 2015 for more reasons than one. Not only does this progressive piece of legislation permanently repeal the flawed Sustainable Growth Rate (SGR) formula for determining Medicare payments for clinicians’ services, but it also establishes […]

By Emily Richmond, MPH on January 25, 2016


Need to Know: Claims-based reporting for PQRS in 2016

It is that time of year again—time to start thinking about reporting for the Physician Quality Reporting System (PQRS). With MIPS penalties set to start in CY 2019, the final year of payment adjustments under the Physician Quality Reporting System will come in CY 2018 and will be based on data reported during this year. […]

By Emily Richmond, MPH on January 20, 2016


Navigating the deadlines of PQRS 2016: wrapping up 2015 reporting and preparing for the new year

The Physician Quality Reporting System (PQRS) is a notoriously complex program that Medicare physicians are required to participate in or they face between 4%-6% penalties on future reimbursements. Quality improvement programs, including pay-for-performance programs and pay-for-reporting programs like PQRS, are especially difficult for navigate in the early months of each new calendar year, because typically […]

By Emily Richmond, MPH on January 18, 2016


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