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PQRS: Last Day for Qualified Clinical Data Registries (QCDRs) – QRDA File Format
The Physician Quality Reporting System (PQRS) is a quality reporting program by the Centers for Medicare & Medicaid Services (CMS) that uses negative payment adjustments to promote reporting of data on quality measures. The Value-Based Payment Modifier (VBM) program is a separate CMS program that assesses quality and cost performance. The VBM is based partially on participation in PQRS. Under the VBM program, physicians are subject to upward, neutral, or downward payment adjustments based on quality of care furnished compared with the cost of care during a performance period. To fulfill the quality reporting requirement for both programs, you simply report data on quality measures to PQRS.
CMS
03/31/2017
All solo physicians and group practices who get paid under or based on the Medicare Physician Fee Schedule must comply with quality reporting requirements on an annual basis. Failure to report data on quality measures to Medicare for the 2016 PQRS program year will result in an automatic 2-percent pay cut under PQRS, plus another automatic 2-percent to 4-percent pay cut under the VBM program, all in 2018. To avoid the automatic penalty under each program, or “negative payment adjustment," choose a reporting mechanism that best fits your practice, and submit your 2016 data by the deadline.
Report your 2016 data on quality measures to CMS. Some QCDRs have separate deadlines. Click on the CMS link above to access the list of QCDRs for the 2016 PQRS program year. Contact your QCDR of choice for details, technical assistance, and reporting deadline.
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