HTS – PQRS: Submitting an Informal Review Request for PQRS/VM Adjustments

September 16, 2016 by Dale Applegate Leave a Comment

PQRS: Submitting an Informal Review Request for PQRS/VM Adjustments

September 16, 2016

Written by Sarah Leake

The CMS Informal Review Request is a mechanism for providers and groups to request a review of negative payment adjustments for PQRS and the Value Modifier. This process allows individual Eligible Professionals, CPC practices, PQRS group practices and ACOs to request review of the payment adjustment determination.

When an informal review request is submitted, CMS will investigate whether a … Read the rest

HTS – PQRS: How to Choose Measures for PQRS Reporting

September 9, 2016 by Dale Applegate Leave a Comment

PQRS: How to Choose Measures for PQRS Reporting

September 9, 2016

Written by Sarah Leake

Remember the chart back on July 1 – Reporting Mechanisms? I have posted it again here since the mechanism you choose does affect the measures that you report.

The measures and the requirements for reporting are already defined for those that have chosen Individual Measure Group or GPRO Web Interface mechanisms. How to report for these mechanisms was addressed in … Read the rest

HTS – MU: How MACRA will affect Meaningful Use

May 1, 2016 by Dale Applegate Leave a Comment

MU: How MACRA will affect Meaningful Use

May 1, 2016

Written by Patty Kosednar

On April 27th, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to implement key provisions of the Medicare Access and Chip Reauthorization Act of 2015 (MACRA) with a new approach to paying clinicians for the value and quality of care they provide.

MACRA is the law. The components of MACRA that will interest you are called the … Read the rest