AMA Clinical Examples in Radiology - 2016 Bulletin 1
PQRS Program Resources
PQRS Program Resources The Physician Quality Reporting System (PQRS) encourages eligible professionals (EPs) to report quality measures intended to improve care and show opportunities for improvement. Participation in the program, which informs value-based modifier calculations, is required to avoid payment reductions. The American College of Radiology (ACR) web site provides the following on the PQRS program: NEWS AND UPDATES PQRS Group Practice Reporting Option (GPRO) Registration is Now Open! Registration is open between April 1, 2016, and June 30, 2016. Centers for Medicare and Medicaid Services (CMS) FAQ 14769, Reporting PQRS Measure #145: Radiology: Exposure Time Reported for Procedures...
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Article Overview
This article summarizes PQRS program resources relevant to radiology and related specialties. It covers reporting options for individual and group participants, CMS updates and FAQs, measure-specification tools, and broad guidance on how participation affects Medicare quality reporting and potential payment adjustments. The content is aimed at clinicians, group practices, and coding or quality staff who need a high-level understanding of the program landscape.
Why This Topic Matters
PQRS participation affects quality reporting responsibilities and potential Medicare payment adjustments, so practices need a reliable overview of available reporting pathways and current CMS guidance. The article helps readers identify which PQRS resources and measure categories may be relevant to their workflow without exposing the detailed premium guidance.
Article Sections
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Overview
Introduces the PQRS program and explains the general purpose of quality reporting for eligible professionals. It also notes the program’s connection to value-based payment considerations.
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News and Updates
Summarizes recent program announcements, CMS FAQs, registration timing, and a web-based measure selection tool. The section highlights current resources available for reviewing reporting requirements.
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How Do I Get Started?
Outlines the initial steps for determining participation status and selecting an appropriate reporting approach. It addresses the overall decision points involved in beginning PQRS reporting.
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How Do I Submit Data?
Lists the broad submission channels available for PQRS reporting. It covers registry-based, claims-based, and electronic reporting pathways at a general level.
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What Are the Reporting Options?
Describes the main reporting categories available to participants, including individual, group, and larger-group options. It also references the general types of submission methods associated with each option.
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How Do I Avoid Penalties?
Explains the general reporting requirements associated with avoiding a payment adjustment. The section discusses the broad thresholds and participation paths relevant to compliance.
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What Measures Are Most Relevant to a Radiology Practice?
Identifies the measure resources and specialty areas most relevant to radiology practices. It points readers to guidance organized by radiology-related disciplines and measure lists.
What You Will Learn
- What PQRS is and why it matters for eligible professionals
- Which general reporting pathways are available for PQRS participation
- What recent CMS-related updates and tools the article references
- How PQRS participation relates to payment adjustments
- Which radiology-related resource categories are highlighted for measure review
Who Should Read This
- Radiology practices
- Eligible professionals
- Physicians and group practices
- Coding and compliance staff
- Quality reporting staff
Codes Discussed
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