CMS Provider Call: Let’s Talk MPFS Payment Modifier

The Centers for Medicare & Medicaid Services (CMS) will hold a National Provider Call Aug. 1 from 2:30 p.m. to 4 p.m. ET to provide physicians, physician groups, practice managers, medical and specialty societies, payers, and insurers with an overview of its proposals for the physician value-based payment modifier.

CMS has proposed to phase-in application of the value modifier, starting in 2015 with groups of physicians with 25 or more eligible professionals. The value modifier for these groups would be based on performance during 2013.

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The presentation will describe the options these groups have on how the value modifier would be calculated based on whether they participate in the Physician Quality Reporting System (PQRS). For groups of 25 or more that do not participate in the PQRS, CMS is proposing to set their value modifier at a 1.0 percent payment reduction. For groups that wish to have their payment adjusted according to their performance on the value modifier, the rule proposes a system whereby groups with higher quality and lower costs would be paid more, and groups with lower quality and higher costs would be paid less. A question and answer session will follow the presentation.

Register for the call on the CMS Upcoming National Provider Calls web page. Registration will close at 12 p.m. on the day of the call or when available space has been filled; no exceptions will be made, so please register early.

The presentation for this call will be posted prior to the call on the FFS National Provider Calls web page. In addition, a link to the slide presentation will be emailed to all registrants on the day of the call.

Continuing education credit may be awarded for participation in certain CMS National Provider Calls. Visit the Continuing Education Credit Notification web page to learn more.

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