CMS updates 2013 PQRS requirements, start reporting now to avoid 2015 penalty

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CMS updates to the Physician Quality Reporting System (PQRS) for 2013 and why providers were urged to begin reporting promptly to avoid future penalties. It covers the program’s broader reporting requirements, newly available reporting pathways, changes affecting group practices, and the addition and removal of measures and measure groups. The piece is aimed at physicians, group practices, and billing/coding staff who need a general understanding of PQRS participation requirements and CMS procedural updates.

Why This Topic Matters

PQRS participation affected future Medicare payment adjustments, so practices needed to understand the updated reporting options, deadlines, and measure changes to stay compliant and avoid penalties.

Article Sections

  1. Pay for performance

    Introduces the 2013 PQRS update in the context of Medicare quality reporting and payment adjustments. Summarizes the broader reason providers were being encouraged to participate during the year.

  2. Dodge penalty with new reporting option

    Describes a new administrative claims-based reporting pathway and the steps CMS outlined for electing it. Also notes the general types of information and submission methods associated with the option.

  3. New, deleted reporting requirements

    Summarizes other reporting changes for the year, including group practice participation, registry reporting, and measure set revisions. Mentions that CMS removed some reporting measures and modified available reporting choices.

What You Will Learn

  • How CMS framed PQRS participation for the 2013 reporting year
  • What types of reporting options were discussed for practices and groups
  • Which general categories of reporting requirements were updated or removed
  • How the article positions PQRS in relation to Medicare payment adjustments

Who Should Read This

  • Physicians
  • Group practices
  • Medical billing and coding staff
  • Practice administrators
  • Quality reporting staff

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