tci Medicare Compliance & Reimbursement - 2015 Issue 3

Quality Initiatives: Buckle Up for a Tricky Reimbursement Ride With Value-Based Payment Modifier

Your payments could see a -6% impact if you aren’t paying attention. If you thought the Physician Quality Reporting System was a burden, that’s only the tip of the payment reform iceberg. CMS will have more reason to dock physicians’ pay come 2015, thanks to more developments with the “Value-Based Payment Modifier” (VBPM). Originating in the Affordable Care Act, the VBPM will “adjust payments to physicians, groups of physicians, and other EPs [eligible professionals] based on the quality and cost of care they furnish to beneficiaries enrolled in the traditional Medicare Fee-for-Service (FFS) program,&rdquo...

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