decisionhealth Newsletters, Part B News - 2014 Issue 11 (November)
PQRS in 2015 will require care in measures selection to avoid 2 pay cuts
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Article Overview
This article explains how 2015 Medicare quality reporting changes affect practices participating in PQRS and the value modifier. It is aimed at providers, practice managers, and coding or billing staff who need to understand the updated reporting requirements, measure categories, and related fee schedule changes. The article summarizes broad guidance on measure selection, cross-cutting measures, measures groups, and value-modifier implications as discussed in the final physician fee schedule.
Why This Topic Matters
The article helps practices assess whether their current reporting approach still fits the updated 2015 framework and what broad areas of the Medicare quality program changed. It is relevant for avoiding penalties and for planning reporting workflows, registry use, and measure review.
Article Sections
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Quality reporting
Introduces the 2015 Medicare quality reporting environment and the overall significance of the program changes.
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5 key changes to note for 2015
Summarizes the major updates affecting reporting expectations, measure selection, measures groups, and value-modifier considerations.
What You Will Learn
- How the 2015 quality reporting changes affect participation planning
- What broad types of measure updates were highlighted for the year
- How measures groups and cross-cutting measures fit into the reporting framework
- Why the value modifier became relevant to a wider range of practices
- Which parts of the final fee schedule article are most relevant for review
Who Should Read This
- Physicians
- Eligible professionals
- Practice administrators
- Medical coders
- Billing staff
- Quality reporting staff
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