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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 :
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
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
AQI Resources
• Payment Incentive
–2014 is the final year for the incentive
–Incentive @ 0.5% per $10,000 = $50
• Payment (Negative) Adjustment
–2.0% adjustment applied in 2016 based
on 2014 reporting year data
–Adjustment per $10,000 = $200
© 2014 ANESTHESIA QUALITY INSTITUTE
4
To see the complete presentation check the
below link:
http://www.audioeducator.com/pain-management/pqrs-for-anesthesia-
190711.html

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Understanding Physician Quality Reporting Systems (PQRS) For Anesthesia Claims

  • 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
  • 4. AQI Resources • Payment Incentive –2014 is the final year for the incentive –Incentive @ 0.5% per $10,000 = $50 • Payment (Negative) Adjustment –2.0% adjustment applied in 2016 based on 2014 reporting year data –Adjustment per $10,000 = $200 © 2014 ANESTHESIA QUALITY INSTITUTE 4
  • 5. To see the complete presentation check the below link: http://www.audioeducator.com/pain-management/pqrs-for-anesthesia- 190711.html