1.5% bonus also applies to copays; CMS clarifies cap calculation

Article Overview

This article covers CMS guidance on the Medicare quality reporting bonus program created by the Tax Relief & Healthcare Act of 2006. It focuses on how bonus payments are being calculated, what types of Medicare charges are included, how the cap is being interpreted, and how CMS may handle reporting and payment at the practice or individual clinician level. It is relevant to physicians, non-physician practitioners, practice managers, and coding/billing staff tracking Medicare quality reporting requirements and payment methodology.