PQRS: Understanding How the 2017 Negative Payment Adjustment Affects You

Why This Topic Matters

Understanding the adjustment notice and the associated review process can help practices recognize whether a payment reduction may apply and where to look for reporting records and support materials. It also provides context for the shift from PQRS to the newer quality reporting framework.

Article Sections

1. CMS announcement and 2017 payment adjustment notices

   Overview of the CMS announcement, who received notices, and the general purpose of the letters for different types of participants.

2. Transition to MACRA and the Quality Payment Program

   Discussion of the broader move away from PQRS and toward the new quality reporting framework, including references to related Medicare programs.

3. Options after receiving a payment adjustment letter

   High-level discussion of the review process, timing, and the preparatory steps CMS recommends before submitting a request.

4. Accessing PQRS feedback reports and QRURs

   General guidance on account access, portal use, and where clinicians can find reporting support materials and user guidance.

5. Reporting for 2016 and practice participation resources

   Summary of the remaining PQRS reporting year and the broad categories of reporting options and participation resources referenced in the article.

6. Program end and expected practice impact

   Closing remarks about the end of the prior program and the anticipated administrative changes for practices moving forward.