decisionhealth Newsletters, Part B News - 2015 Issue 7 (July)
PQRS requirements will stay the same but expect measures to change
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Article Overview
This article explains proposed Medicare updates to the Physician Quality Reporting System (PQRS) for the 2016 reporting cycle. It is aimed at providers, coders, and quality reporting staff who need to understand how the program’s requirements, available measures, measures groups, and reporting pathways may shift as Medicare aligns PQRS with other quality initiatives.
Why This Topic Matters
PQRS reporting affects Medicare payment adjustments and quality reporting workflows. Understanding proposed changes helps practices plan ahead, track eligible reporting options, and prepare for updates tied to future quality programs.
Article Sections
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Program overview and reporting transition
Introduces the proposed Medicare updates for the quality reporting program and explains the broader transition toward future quality initiatives. It also places the discussion in the context of annual reporting planning.
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Understand who is eligible
Summarizes the article’s discussion of which providers are considered eligible to participate in the program and the settings that are excluded. It addresses the general scope of participation for Medicare Part B billing providers.
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Revisions could change your PQRS plan
Outlines the major categories of proposed changes to the available measures and measures groups for the upcoming year. The section also covers shifts in reporting methods and broader program updates.
What You Will Learn
- How proposed Medicare updates may affect annual quality reporting planning
- Which broad provider groups are discussed as eligible or excluded from participation
- What categories of measure and measures group changes are proposed for the next reporting year
- How reporting pathways and measure availability may change across different submission methods
- Which general quality reporting program transitions are referenced in the article
Who Should Read This
- Physicians and other eligible professionals
- Medical coders
- Quality reporting staff
- Practice managers
- Compliance and reimbursement teams
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