decisionhealth Newsletters, Part B News - 2016 Issue 5 (May)
PQRS reporting rates increase yet penalties hit thousands of providers
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Article Overview
This article reviews CMS-reported participation trends in the Physician Quality Reporting System (PQRS) and describes how reporting rates, reporting methods, and payment adjustments changed over time. It is relevant to clinicians, group practices, quality-reporting staff, and billing professionals monitoring Medicare quality program participation and penalty exposure.
Why This Topic Matters
The piece helps readers gauge how quality-reporting participation has changed and why a large number of providers were still subject to Medicare payment adjustments. It is useful for understanding the broader operational impact of PQRS and the reporting channels used by eligible providers and group practices.
What You Will Learn
- How PQRS participation rates changed over multiple reporting years
- What CMS reported about providers subject to payment adjustments
- Which reporting methods were most commonly used by eligible providers and group practices
- How participation patterns differed across reporting approaches
Who Should Read This
- Physicians
- Eligible providers
- Group practices
- Practice managers
- Billing and coding professionals
- Quality reporting staff
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