decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 12 (December)
PQRS 2016: Watch for measures, registry changes as value-based modifier raises the stakes
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Article Overview
This article explains major 2016 changes to CMS physician quality reporting, including shifts in available measures, reporting pathways, group practice survey rules, registry approval timing, and the growing importance of performance under the value-based modifier. It is intended for physician practices, coders, quality reporting staff, and administrators who need a practical view of how the updated CMS framework affects reporting planning and compliance.
Why This Topic Matters
Quality reporting performance can affect future Medicare payment adjustments, so practices need to understand which measures are available, how they can be reported, and what administrative deadlines may affect their reporting vendors or group practice requirements.
Article Sections
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Take note of measures changes
Covers general updates to PQRS measures for 2016, including changes in availability and reporting options across different submission methods.
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MAV still in effect
Summarizes the continued role of measures applicability validation in determining whether a provider met the reporting expectations CMS reviews.
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CMS walks back survey requirement
Describes changes to the group practice survey requirement and how it applies to practices of different sizes using GPRO.
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Keep an eye on registries
Discusses registry participation timing, annual approval expectations, and the importance of vendor deadlines for practices using registry-based reporting.
What You Will Learn
- How 2016 PQRS reporting expectations changed under CMS guidance
- What kinds of measure availability and submission-method changes practices needed to track
- How group practice reporting and survey participation were affected
- Why registry approval timelines mattered for reporting plans
- How quality reporting performance could influence future payment adjustments
Who Should Read This
- Physician practices
- Medical coders
- Quality reporting staff
- Practice managers
- Revenue cycle teams
- Compliance staff
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