TMA Helps Improve Quality, Avoid Penalties

PQRS is switching from the carrot to the stick.

Introduced in 2007, Medicare's Physician Quality Reporting System (PQRS) offers physicians bonuses for tracking and reporting on clinical quality measures. In 2015, however, the Centers for Medicare & Medicaid Services (CMS) will impose a 1.5-percent penalty on physicians who do not successfully report on this data. Physicians must act now because CMS will base the 2015 penalties on the quality data reported for 2013.

In response, TMA launched the Clinical Quality Tools page on the TMA website. It will be updated frequently to showcase the many new tools TMA creates as they are completed. The first set of these tools includes a series of prevention tools and calculators.

These interactive, but simple, calculators show you the requirements and billing codes associated with each quality metric. Enter your data on patients seen and contracted rates for each identified code into the calculator. This allows you to see the benefits of providing such care, as well as to analyze the fiscal sustainability of providing this preventive service.


 Action, April 15, 2013

 


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