PQRS and Your
Practice
PQRS is a reporting program that uses a combination of
incentive payments and payment adjustments to promote reporting of quality
information by eligible professionals (EPs).
The program provides an incentive payment to practices
with EPs (identified on claims by their individual National Provider Identifier
[NPI] and Tax Identification Number [TIN]). EPs satisfactorily report data on
quality measures for covered Physician Fee Schedule (PFS) services furnished to
Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad
Retirement Board and Medicare Secondary Payer).
Beginning in 2015, the program also applies a payment
adjustment to EPs who do not satisfactorily report data on quality measures for
covered professional services. This website serves as the primary and
authoritative source for all publicly available information and CMS-supported
educational and implementation support materials for PQRS
The
Centers for Medicare and Medicaid Services finalized the use of the calendar
year 2013 and 2014 reporting period to inform the 2015 and 2016 payment
adjustments respectively. Eligible professionals, including physical therapists
that do not satisfactorily report data on quality measures for the January 1,
2014-December 31, 2014 reporting period, will be subject to the 2.0% adjustment
in their fee schedule amount in 2016.
Are
you Ready ?
HEDIS
2015
PQRS
2015
Quality
Measures
HPP Management Group, Corp. the
titled-holder of Health Plans Path, Corp (HPP) and also the developers of the
AccuChecker Product Line is a group of healthcare consultants servicing physicians
and payers since 1983, and can assist you navigate through all these changes.
Contact our office for greater details.
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PQRS Eligible Providers
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||
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Medicare Physicians / Practitioners
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Eligible For Incentive
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Subject to Payment Adjustment
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Doctor of Medicine
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Y
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Y
|
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Doctor of Osteopathy
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Y
|
Y
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Doctor of Podiatric Medicine
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Y
|
Y
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Doctor of Oral Surgery
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Y
|
Y
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Doctor of Dental Medicine
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Y
|
Y
|
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Doctor of Chiropractic
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Y
|
Y
|
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Physical Therapist
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Y
|
Y
|
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Occupational Therapists
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Y
|
Y
|
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Qualified Speech-Language
|
Y
|
Y
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Physician Assistant
|
Y
|
Y
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Nurse Practitioner
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Y
|
Y
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Clinical Nurse Specialist
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Y
|
Y
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Certified Registered Nurse Anesthetist
|
Y
|
Y
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Certified Nurse Midwife
|
Y
|
Y
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Clinical Social Worker
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Y
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Y
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Clinical Psychologist
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Y
|
Y
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Registered Dietician
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Y
|
Y
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Nutrition Professional
|
Y
|
Y
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Audiologists
|
Y
|
Y
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For more details, please call :
305-227-2383 or 1-877-938-9311
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