The MACRA-Quality Payment Program encompasses the current legacy programs of PQRS, MU and Value Modifier. Therefore, if you have been engaged in all or some of these programs, the QPP will be familiar and not to be alarmed about. Here are some quick facts on the Quality Payment Program and items to consider at this point in time.
Identify … Read the rest
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
The Quality Resource Use Reports (QRURs) are part of CMS’s Physician Quality and Value Based program which provides physicians with comparative information about the quality and cost of the care delivered to their Medicare fee-for-service patients. The report uses quality measures from the Physician Quality Reporting System (PQRS) as well as the information you report through claims.
What is the value of the … Read the rest
Don’t forget about the Value Modifier Program as professionals affected by this program are different than for the PQRS program. Beginning January 1, 2018, the Value Modifier will be applied to physician payments under the Medicare PFS for physician solo practitioners and physicians in groups with two or more eligible professionals, as identified by their … Read the rest
