Are You Getting Paid for Prevention?

Does your practice collect the financial incentives that performance improvement programs offer for preventive services?

Programs such as Medicare’s Physician Quality Reporting System (PQRS) and Blue Cross and Blue Shield of Texas’ Bridges to Excellence allow physicians to earn bonuses for meeting evidence-based standards of preventive care.

Thanks to a grant from TMF Health Quality Institute, TMA has developed 36 interactive calculators to help practices see the benefits, and fiscal sustainability, of providing such care. To evaluate the billing codes associated with preventive health measures, enter your data on patients seen and contracted rates for each identified code into the calculator.

TMA endorses two online tools for PQRS, each of which provides a simple and cost-effective way for eligible physicians to collect and report quality measures data without modifying their billing processes. PQRSwizard and Covisint DocSite are easy to use for small practices, and competitively priced, with discounted rates for TMA members: $199 for PQRSwizard, and $195 for Covisint DocSite.

Note that in 2015, physicians who do not report data to PQRS will see a 1.5-percent cut in their payments. That penalty increases to 2 percent in 2016 and subsequent years. By participating in PQRS now, you can earn bonuses while becoming accustomed to the reporting system well in advance of 2015.

Revised Oct. 3, 2013

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