Pqrs

TAMMY12

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Are there any anesthesia groups reporting PQRS for endoscopy procedures (colon's and Egd's) ? We will not make the 50% reporting requirement because a large portion of our medicare cases are performed in our endoscopy unit. Any response appreciated.
 

dwaldman

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I signed up for the following webinars by CMS for program year 2017. They describe transitioning from PQRS to Quality portion of the MIPS program.


https://qpp.cms.gov/

https://qpp.cms.gov/docs/Quality_Payment_Program_Overview_Fact_Sheet.pdf


What is the Merit-Based Incentive Payment System (MIPS)?
If you decide to participate in traditional Medicare, rather than an Advanced APM, then you will participate in MIPS where you earn a performance-based payment adjustment to your Medicare payment. CMS estimates approximately 500,000 clinicians will be eligible to participate in MIPS in the first year of the program.
In MIPS, you earn a payment adjustment based on evidence-based and practice-specific quality data. Based on your performance in 2017, you will see a positive, neutral, or negative adjustment of up to 4% to your Medicare payments for covered professional services furnished in 2019. This adjustment percentage grows to a potential of 9% in 2022 and beyond. In addition, during the first six payment years of the program (2019-2024), MACRA allows for up to $500 million each year in additional positive adjustments for exceptional performance. In total, MACRA provides for up to $3 billion in additional positive adjustments to successful clinicians over six years.
MACRA replaced three Medicare reporting programs with MIPS (Medicare Meaningful Use, the Physician Quality Reporting System, and the Value-Based Payment Modifier). Under the combination of the previous programs, you would have faced a negative payment adjustment as high as 9% total in 2019, but the MACRA ended those programs, reduced the potential negative payment adjustments in the early years, and streamlined the overall requirements. While these three programs will end in 2018, if you have participated in these programs in the past, then you will have an advantage in MIPS because many of the requirements should be familiar.
MACRA defined four performance categories for MIPS, linked by their connection to quality and value of patient care.

https://engage.vevent.com/index.jsp?eid=3536&seid=657&lc=en&cc=US&page=10000&code=Direct Access&no-login=false&clearSession=true

MIPS Overview: Understanding Quality and Cost*

Date: * * * * Thursday,*January 12th 2017
Time: * * * *1:30pm-3:00pm ET
*
The Centers for Medicare & Medicaid Services (CMS) invites you to join a MIPS Overview webinar on understanding the Quality and Cost performance categories.
This audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com. Phone lines will be available for the Q&A portion of the webinar.

____________________________________
https://www.cms.gov/Outreach-and-Ed...=1&DLEntries=10&DLSort=0&DLSortDir=descending

Medicare Quality Programs: Transitioning from PQRS to MIPS Call
Topic
Medicare Quality Reporting Programs
When: Tuesday, January 24, 2017*
Time: ** 2:00 PM – 3:30 PM Eastern Time*
Description: During this call, find out how to complete the final reporting period for the legacy Medicare quality reporting programs and transition to the Merit-based Incentive Payment System (MIPS). A question and answer session follows the presentation.
Agenda:
Wrapping Up the 2016 Program Year for the Physician Quality Reporting System (PQRS), Medicare Electronic Health Record (EHR) Incentive Program, and Value-Based Payment Modifier (VM)
Transitioning to MIPS**
Timeline for PQRS, EHR, VM, and MIPS programs with submission timeframes and other key milestones
Resources
 
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