decisionhealth Newsletters, Part B News - 2014 Issue 7 (July)
Look to automation for easier solutions as CMS confirms PQRS getting tougher
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Article Overview
This article covers CMS guidance and proposed changes affecting physician quality reporting, with emphasis on how practices may need to rely more on electronic and registry-based reporting methods. It is relevant to physicians, practice managers, coders, compliance staff, and quality-reporting teams tracking Medicare incentives, penalties, and related reporting requirements. The discussion also touches on patient-satisfaction reporting, value-based measurement, and CMS program participation considerations.
Why This Topic Matters
Practices that report quality data for Medicare need to understand evolving PQRS expectations, because reporting choices can affect payment adjustments and administrative workload. The article helps readers assess broader reporting strategy and the kinds of CMS program changes that may influence compliance planning.
Article Sections
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PQRS reporting changes and automation
Introduces CMS’s direction toward more streamlined reporting approaches and the growing administrative impact on practices.
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Quality counts
Summarizes CMS’s emphasis on broader participation, more detailed performance data, and possible changes in reporting frequency.
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CMS wants patient-satisfaction data
Discusses patient-satisfaction reporting, related survey programs, and possible expansion of reporting expectations.
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2 more items from the CMS call
Covers additional CMS call topics involving value-based assessment and certain group or program participation situations.
What You Will Learn
- How CMS is shaping PQRS reporting expectations
- Why automated reporting approaches are being emphasized
- What general types of quality data CMS is seeking more of
- How patient-satisfaction reporting fits into the broader program
- What broader CMS program participation issues may affect reporting
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Compliance staff
- Quality reporting specialists
- Healthcare administrators
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