Centers for Medicare and Medicaid Services (CMS) 2014 Physician Quality Reporting System (PQRS) Now Available through ABFM

Submitted on Thu, 06/12/2014 - 12:20

The Centers for Medicare and Medicaid Services (CMS) PQRS is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals (EPs). EPs satisfactorily report data on quality measures for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries. By reporting PQRS quality measures, providers also can quantify how often they are meeting a particular quality metric. Using the feedback report provided by the CMS, providers can compare their performance on a given measure with their peers. Beginning in 2015, the program will begin applying a payment adjustment to eligible professionals who do not satisfactorily report data on quality measures for covered professional services.

2014 PQRS

  • You are able to participate at no cost in the ABFM approved diabetes registry online from your Physician Portfolio.
  • Eligible professionals that do not satisfactorily report data on quality measures for the January 1, 2014 – December 31, 2014 reporting period will be subject to the 2.0% payment reduction in their fee schedule amount in 2016.
  • Physicians working for more than one organization need to meet the reporting criteria for each tax identification number (TIN) where you work during the 2014 PQRS program year to avoid the 2016 PQRS payment adjustment for each TIN.
  • The deadline for entering your data into the ABFM diabetes registry is January 10, 2015.

2014 ABFM PQRS-specific requirements

  • You are only required to enter data for 20 diabetes patients, of which the majority (11) must be Medicare Part B beneficiaries.
  • If you submit the required data successfully, you will be eligible to earn an incentive payment of 0.5% of your total allowed charges for Physician Fee Schedule (PFS)-covered professional services furnished during the reporting period (January 1, 2014 – December 31, 2014).

MC-FP Benefit

  • Any Diplomate who successfully completes our 2014 PQRS module can continue the activity for MC-FP credit and CME credit by implementing a quality improvement plan along with a post quality improvement data collection to complete the activity as a Performance in Practice Module (PPM).

PQRS:MOC

  • The Centers for Medicare and Medicaid Services (CMS) also offers an additional PQRS:MOC incentive program that ABFM Diplomates may be eligible to earn an additional 0.5% incentive payment when Maintenance of Certification Program requirements have been met more frequently.
  • In order to be eligible for the PQRS:MOC incentive program, physicians working at more than one organization must meet the PQRS reporting requirement for each tax identification number (TIN) where he/she works.
  • For more information on this program, please refer to our MOC Incentive Guide.