BC Advantage - 2016 Issue 8
Why keep PQRS reporting on your priority list?
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Article Overview
This article discusses the shift from PQRS to MIPS under MACRA and explains why ongoing attention to Medicare quality reporting still matters during the transition period. It is aimed at physicians, non-physician practitioners, group practices, and coding or revenue cycle professionals who need to understand the relationships among PQRS, meaningful use, the value-based payment modifier, and public quality reporting. The article covers program timing, reporting participation, penalty exposure, incentive considerations, and how quality reporting feeds into publicly visible physician ratings.
Why This Topic Matters
Medicare quality reporting requirements affect payment, compliance, and public perception. Understanding the transition from PQRS to MIPS helps practices prepare for reporting obligations and payment impacts tied to performance in the interim period.
Article Sections
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PQRS: then and now
Provides background on PQRS, its role in Medicare quality reporting, and the transition to MIPS under MACRA. It also places PQRS in the broader context of related quality programs and the reporting timeline.
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Avoid penalties and earn incentives for 2016 quality reporting
Reviews the 2016 reporting period, registration timing, and the connection between PQRS participation, meaningful use, and the value-based payment modifier. The section focuses on program administration and payment implications.
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For patients, your quality measures will equal your quality
Describes the public-facing quality rating initiative associated with Medicare provider performance and its relationship to submitted quality measures. It addresses how reported performance may be reflected in consumer-facing summaries.
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Your bottom line?
Summarizes the article’s overall emphasis on staying attentive to current quality reporting requirements during the transition period. It frames the discussion in terms of near-term Medicare payment and readiness for future policy changes.
What You Will Learn
- How PQRS fits into the transition to MIPS
- Why Medicare quality reporting remains relevant during the transition period
- How PQRS interacts with meaningful use and the value-based payment modifier
- What kinds of reporting and payment considerations are discussed for practices
- How public quality ratings relate to reported performance
Who Should Read This
- Physicians
- Non-physician practitioners
- Group practices
- Medical coders
- Billing and revenue cycle professionals
- Practice administrators
- Healthcare compliance staff
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