decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 8 (August)
Proposed physician fee schedule 2016: PQRS requirements will stay the same but expect measures to change
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Article Overview
This article explains proposed 2016 changes to Medicare’s Physician Quality Reporting System (PQRS) and related quality reporting requirements. It is aimed at providers, coders, and revenue cycle staff who need to track annual measure changes, understand who must participate, and prepare for adjustments to claims-based, registry, and measures-group reporting. The discussion focuses on the structure of the program, the categories of measure revisions, and the broader transition toward future Medicare quality payment programs.
Why This Topic Matters
PQRS requirements and available measures can change from year to year, affecting reporting workflows and compliance planning. Staying current helps practices identify reporting options, anticipate deletions or revisions, and avoid missed quality reporting obligations.
Article Sections
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Overview of 2016 PQRS changes
Introduces the proposed Medicare updates to the quality reporting program and the general focus of the article. Summarizes the need to review annual reporting plans and changes to available measures.
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Understand who is eligible
Discusses which types of professionals are considered eligible for PQRS participation under the proposed rule. Also notes categories of providers that are described as unable to participate.
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Revisions could change your PQRS plan
Outlines the major categories of proposed measure revisions for 2016, including additions, deletions, domain changes, reporting-method changes, and measures-group updates. Describes the overall structure of the proposed changes across reporting pathways.
What You Will Learn
- How the proposed 2016 PQRS updates affect Medicare quality reporting planning
- Which broad provider groups are discussed in relation to PQRS eligibility
- What categories of measure changes are proposed for the coming year
- How reporting approaches and measures groups are expected to be revised
- How PQRS fits into the broader transition to future Medicare quality programs
Who Should Read This
- Physician practices
- Medical coders
- Quality reporting staff
- Compliance teams
- Revenue cycle professionals
- Anesthesia and pain management practices
Codes Discussed
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