tci Medicare Compliance & Reimbursement - 2015 Issue 10

Industry Notes: Almost 40 Percent Of Providers Saw Pay Slashed By 1.5 Percent Due To PQRS Non-Participation

Almost half a million providers forfeited 1.5 percent of their pay this year, CMS reports. Forty percent of eligible professionals (totaling 469,755 practitioners) are subject to the 1.5 percent PQRS payment adjustment this year due to their 2013 reporting experience, according to the April 8 CMS document “2013 Reporting Experience Including Trends (2007-2014)” on the PQRS and EHR incentive programs. Most of the doctors who will take the 1.5 percent hit this year didn’t submit any PQRS data in 2013, while the remaining two percent of practices attempted to participate but did so...

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