decisionhealth Newsletters, Part B News - 2015 Issue 8 (August)
Use your resource reports to prep for PQRS 2016, beat the value-based cut
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Article Overview
This article explains how practices can use CMS quality and resource use reporting materials to understand performance measurement under Medicare’s physician quality reporting and value-based payment programs. It is aimed at physicians, practice managers, and coding or billing professionals who need to monitor quality reporting, review practice-level reports, and prepare for payment adjustments tied to reporting performance.
Why This Topic Matters
The article matters because it highlights the CMS report resources practices use to monitor quality and resource use performance before physician payment adjustments are applied. It also clarifies the relationship between quality reporting participation, practice-level review, and upcoming Medicare payment impacts.
What You Will Learn
- How CMS practice-level quality and resource use reports are used in preparation for payment adjustments
- What types of report sections are emphasized for reviewing practice performance
- Why quality reporting participation is important for Medicare payment calculations
- How practice-level reporting relates to physician fee schedule payments and value-based adjustments
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing staff
- Quality reporting staff
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