Proposed physician fee schedule 2015: Prepare for increased PQRS requirements and cuts to claims-based measures

Why This Topic Matters

The proposed changes could affect how practices meet quality reporting requirements and avoid payment reductions. Understanding the scope of the changes helps practices plan reporting workflows and evaluate whether current reporting methods will remain viable.

Article Sections

1. Expect 4 major changes to PQRS

   This section outlines the major proposed updates to the PQRS program and the broad areas of reporting that would be affected. It also notes participation expectations and the types of measures practices may need to review.

2. Add cross-cutting measures to your reporting mix

   This section discusses the cross-cutting measure requirement and the general category of measures that may be included. It describes how these measures fit into broader quality reporting under Medicare.

3. Prepare for more changes to measures groups

   This section covers proposed changes to measures groups and how those changes may affect reporting options for certain specialties and practices. It also references organizational responses to the proposed rule.

4. Anesthesia providers should say good-bye to Measure 30

   This section addresses a proposed change affecting anesthesia-related reporting and notes that an additional professional organization is reviewing the impact. It focuses on the reporting landscape rather than clinical content.

5. Expect the number of claims-based measures to drop

   This section explains the broad decline in claims-based reporting and the alternative reporting pathways that may become more important. It highlights the move toward other submission methods for individual quality measures.

6. 2 shortcuts to PQRS success

   This section offers general planning strategies for adapting to the proposed reporting environment. It emphasizes practice-wide preparation and greater use of electronic systems.