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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Washington Highlights

CMS Extends PQRS Deadline for Group Reporting and Releases Feedback Report

October 3, 2014—The Centers for Medicare and Medicaid Services (CMS) Sept. 30 extended the deadline for group practices to register for the Physician Quality Reporting System (PQRS) from Oct. 1 to Oct. 3.

The AAMC, the American Medical Association, and the American Hospital Association requested the extension due to issues with the website and to allow groups the option to review their feedback reports, which were released on Oct. 1, before finalizing which reporting option they want to choose.

Practices have to register as a group if they want to report PQRS at a group level, rather than at the individual clinician level.  Group reporting allows practices to do a single submission to avoid a 2 percent PQRS penalty for 2016.

Group reporting also protects groups from an additional adjustment from the Physician Value-based Modifier (VM), the Medicare pay-for-performance program.  Under the VM, physician groups with at least 10 individual clinicians, that do not report as a group, or have at least 50 percent of their individuals reporting PQRS, will face an automatic 2 percent reduction in 2016 Medicare Part B payments.

Related to the extension, CMS Oct. 1 released the 2013 Quality Resource Use Report (QRUR).  The QRUR feedback reports provide group practices feedback on their quality and cost performance for the 2015 VM program.  It also provides information to estimate performance for the 2016 VM.

Contact:

Mary Patton Wheatley, M.S.
Director, Health Care Affairs
Telephone: 202-862-6297
Email: mwheatley@aamc.org

Scott Wetzel, M.P.P.
Lead, Quality Reporting
Telephone: 202-828-0495
Email: swetzel@aamc.org

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For More Information

Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806
Email: jkleinman@aamc.org