decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 2 (February)
PQRS: Report PQRS in 2013 or pay a penalty in 2015; let CMS do the reporting
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Article Overview
This article covers Medicare’s Physician Quality Reporting System (PQRS) as it applied in 2013, including an optional administrative claims-based reporting pathway, election requirements, submission timing, and related registry reporting reminders. It is aimed at practices, physicians, and billing/coding staff who need to understand reporting participation, CMS deadlines, and how the article’s updates may affect Medicare payment adjustments and quality reporting workflows.
Why This Topic Matters
The piece helps readers quickly assess whether they need to take action on PQRS participation, understand the general reporting options discussed by CMS, and recognize timeline-sensitive updates that could affect Medicare reimbursements and quality reporting compliance.
Article Sections
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PQRS reporting and payment adjustment overview
Introduces the Medicare quality reporting topic and the general relationship between reporting participation and future payment adjustments. Provides the context for why the 2013 reporting period is important.
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Administrative claims-based reporting
Describes the CMS reporting option that allows Medicare claims data to be used for quality reporting. Covers the election process, required practice information, and the timing of the opt-in process at a broad level.
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Additional notes on PQRS
Summarizes several related PQRS updates, including changes to reporting resources, registry-based submission timing, and program status notes for selected codes and measures.
What You Will Learn
- The purpose of the 2013 PQRS reporting option discussed by CMS
- What general information is needed to elect the administrative claims-based reporting pathway
- How registry-based reporting timing and enrollment are described in the article
- Which types of PQRS program updates are highlighted for 2013 reporting
Who Should Read This
- Physicians
- Group practices
- Medical billing and coding staff
- Practice managers
- Quality reporting staff
- Medicare compliance teams
Codes Discussed
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