Find Out Now If Your Practice Will Be Penalized in 2016

Have you looked at your Quality and Resource Use Report (QRUR)? If not, now is the time to do so. The QRUR is a free tool provided by the Centers for Medicare & Medicaid Services (CMS) to help physicians and practices better understand their quality and cost information for the year, as well as how their performance compares to that of their peers. This year, the report will also preview whether or not you or your practice can expect a penalty starting in 2016 for not sufficiently providing quality information (PQRS) or poor performance in the Value-Based Payment Modifier (VBPM) in 2014. Access your report.

Review your report now to be sure the information listed for your practice is accurate. If you find issues with the information included in your report, you have until November 9 to submit a request for reconsideration and ask questions about what is listed. Learn more about the review and dispute process here. Don’t miss the November 9th deadline to file your review request! If you request a review, you will be contacted via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review.

Please see CMS’ 2014 Physician Quality Reporting System (PQRS): Incentive Eligibility & 2016 Negative Payment Adjustment – Informal Review Made Simple (available on the Analysis and Payment section of the PQRS website) for more information.

To keep up with the growing number of quality initiatives and to better understand what they mean to you and your practice, log on to Quality Time with the NCMS, where the North Carolina Medical Society’s Director of Health Policy Jennifer Gasperini and Director of Practice Improvement Terri Gonzalez post updates and offer resources. Follow the simple directions to register in order to access the valuable information on this blog.



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