So, as determined by Medicare’s minimum participation requirements, a 2% penalty in 2017 payments would be levied for non-participation in 2015, and a 2% penalty in 2018 payments may be levied for non-participation in 2016. The penalties for non-participation are levied two years after CMS analyzes PQRS data. More recently, the bonus incentives were phased out and replaced by financial penalties for non-participation. Your Current PQRS Performance Impacts Payments in Two Years- Originally, the program offered a small financial bonus for participation.You Must Report on All PQRS Measures, 50% of the Time- As of January 1, 2015, the successful reporting requirements for physical therapists, occupational therapists and speech therapists were increased to require reporting on all measures on at least 50% of the eligible visits.Some measures require additional factors for eligibility, like the patient’s diagnosis, or the results of other related PQRS measures. Acceptable PQRS Measures for a Visit are Based on Various Factors- These factors always include the patient’s age and other procedures performed during the visit.The system is designed to provide incentives for providers to report that they completed certain tasks designed to improve quality.īelow are three things you must understand about the program: The Physician Quality Reporting System (PQRS) is a voluntary Medicare quality reporting program. Toward the end of every year, CMS informs therapists if they failed to participate in PQRS correctly the previous year.īefore we discuss what is on the PQRS horizon, and what to do if CMS sent you a letter about your PQRS performance, let’s review the basics of the reporting program. It’s that time of year again: PQRS update time.
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