How Do Your Physicians Compare?

How Do Your Physicians Compare?

The Physician Compare preview period began Oct. 18 and ends Nov. 17. Now is the time for physicians to review their profiles for accuracy before they are made public. Misinformation could cost your practice dearly.

Check the Basics

General information given on the Physician Compare website for physicians enrolled in Medicare includes:

  • Name
  • Medical specialties
  • Contact information
  • Medicare assignment status
  • Board certifications
  • Education and residency
  • Group/Hospital affiliations
  • Gender
  • Accountable Care Organization affiliation

This information is collected from PECOS, claims data, and board certifications; if you find errors, amend the sources.

Check Performance

Certain performance information is also made public on Physician Compare. In December 2017, Physician Quality Reporting System (PQRS) 2016 data will be posted online for all to see; and in 2018, Quality Payment Program 2017 performance data will be made available.

The PQRS group measures (with a minimum 20-patient sample size) being publicly reported this year are:

What is Macra

PQRS Measure # Plain Language Title Reporting Mechanism

006

Giving antiplatelet blood thinners to patients with heart disease.

Registry

047

Older patients who have an advanced care plan or someone to help make medical decisions for them when they can’t.

Registry

048

Evaluating loss of bladder control in older women.

Registry

051

Spirometry evaluations in patients with COPD.

Registry

110

Getting a flu shot during flu season.

Web Interface

111

Making sure older adults have gotten a pneumonia vaccine.

Web Interface

113

Screening for colorectal (colon or rectum) cancer.

Web Interface

117

Eye exam for patients with diabetes.

Web Interface

128

Screening for an unhealthy body weight and developing a follow-up plan.

Web Interface

134

Screening for depression and developing a follow-up plan.

Web Interface

226

Screening for tobacco use and providing help quitting when needed.

Registry

238

Limiting high-risk medicine use in older adults.

Registry

318

Screening older patients’ risk of falling.

Web Interface

412

Signed opioid treatment agreements for patients that are prescribed opioids.

Registry

438

Giving statin therapy to patients at risk for cardiovascular problems.

Web Interface

Take the Five-step Program

The Centers for Medicare & Medicaid Services (CMS) offers these five tips for previewing 2016 individual clinician and group performance information:

  1. Download the resources from the Physician Compare Initiative website.
  2. Use the Physician Compare Lookup Tool to find out if you have measures available for preview.
  3. Establish the correct Enterprise Identify Management (EIDM) account and user role.
  4. Preview your data in the Provider Quality Information Portal (PQIP).
  5. Sign up for reminders and updates.
Renee Dustman
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Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.
Renee Dustman
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About Has 632 Posts

Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.

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