PQRS: Report 2015 Data Now to Avoid 2017 Penalties

If you plan to participate in Medicare's Physician Quality Reporting System (PQRS) and value-based payment modifier (VBM) programs for the 2015 performance period, now is the time to submit your data on quality measures. Depending on the reporting mechanism used, deadlines vary from February through March 2016.

According to the Centers for Medicare & Medicaid Services (CMS), all eligible professionals who get paid under the Medicare Part B Physician Fee Schedule (MPFS) must comply with quality reporting requirements annually. In 2017, Medicare payment under the MPFS will be based on 2015 quality and cost performance, assessed under the PQRS and VBM programs. Failure to report data will result in an automatic 2-percent pay cut under PQRS, plus another automatic 2-percent to 4-percent pay cut under VBM. To see how much these penalties will affect your practice in 2017, visit the TMA PQRS Resource Center to access the Medicare payment adjustment calculator. To avoid the penalties, choose a reporting mechanism that best fits your practice, and submit your 2015 data by the deadline. 

Submission Deadlines for the 2015 PQRS Reporting Period  

Note: Data submitted to PQRS do not automatically satisfy the clinical quality measure component of the meaningful use program. However, the option to report data only once for Medicare's quality programs is available and requires a specific submission process. For complete details, see this CMS guide and visit the CMS website

Get Free Help From TMF

Do you report PQRS data and need some help, or are you new to PQRS and don't know how to get started? Join the TMF Value-Based Improvement and Outcomes Network for no-cost technical assistance, education, and consulting services on how to navigate Medicare's requirements to successfully participate in the PQRS and VBM programs. Read more about TMF in the December 2015 issue of Texas Medicine

More Information

Stay informed about the latest PQRS news by subscribing to the free CMS PQRS listserv. For PQRS questions, contact the CMS QualityNet Help Desk, Monday through Friday, 7 am to 7 pm CT, by phone, (866) 288-8912 (select option 3, then 7), or email. For VBM questions, contact the CMS Physician Value Help Desk, Monday through Friday, 7 am to 7 pm CT, by phone (888) 734-6433 (select option 3), or email. You also can contact the TMA Knowledge Center by phone, (800) 880-7955, or email. Visit TMA's PQRS Resource Center for more information on how to participate in the PQRS and VBM programs.

Action, March 1, 2016

Last Updated On

May 13, 2016

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