Understanding Physician Quality Reporting Systems (PQRS) For Anesthesia Claims
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The document discusses Physician Quality Reporting Systems (PQRS) for anesthesia claims. It provides a brief history of PQRS, starting in 2006 as a voluntary program and evolving into the current PQRS system. It notes that incentives for reporting PQRS data are decreasing over time, with the final incentive year being 2014 at 0.5% and penalties being implemented starting in 2015 at 1.5% and increasing to 2% in 2016 based on 2014 reporting period data. Resources from Anesthesia Quality Institute are provided to help understand PQRS payment incentives and adjustments.
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The 2015 MACRA legislation fundamentally changed the way in which providers are paid for their services. It also provides some relief from the “all or nothing” approach used by Meaningful Use.
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After graduating from American University with a degree in marketing in 1979, she joined Brooks Brothers in New York, where she was a buyer. She earned her MBA in finance from Fordham University in 1984. She moved to Knoxville in 1988 and joined Watson’s as director of planning and distribution when her husband, Brooks, was recruited from Sports Illustrated to Whittle Communications. They have two adult daughters, Isabel, and Olivia.
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- 1. Understanding Physician Quality Reporting Systems (PQRS) For Anesthesia Claims As predicted, physicians will be penalized in a few years if they DON’T report PQRI data. Presenter - Kelly Dennis Follow us :
- 2. History of PQRS • January 2006 – Physician Voluntary Reporting Program (PVRP) – No incentive, access to data base • July 2007 to 2010 – Physician Quality Reporting Initiative (PQRI) • 2011 to current – Physician Quality Reporting System (PQRS) Copyright Perfect Office Solutions, Inc. 2014 2
- 3. Copyright Perfect Office Solutions, Inc. 2014 3 The Disappearing Incentives • 2014 – Incentive decreased to .5% – Successfully reported measures in 2013 • 2015 – payment adjust (reduction) of 1.5% – 2015 is based on 2013 reporting period • 2016 & beyond – payment adjust of 2% – 2016 is based on 2014 reporting period
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