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Providing free resources and useful informations for Physicians,
Office Managers, Medical Billers and Medical Coders
Avoid getting
Penalized in
2015 at 1.5%
based on your
fee schedule!

Please ACT
NOW!
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Background.:

"The Physician Quality Reporting System (Physician Quality Reporting
or PQRS) is a  reporting program that uses a combination of incentive
payments and payment adjustments to promote reporting of quality
information by eligible professionals. The program provides an incentive
payment to practices with eligible professionals (identified on claims by
their individual National Provider Identifier [NPI] and Tax Identification
Number [TIN]) who satisfactorily report data on quality measures for
covered Physician Fee Schedule (PFS) services furnished to Medicare
Part B Fee-for-Service (FFS) beneficiaries (including Railroad
Retirement Board and Medicare Secondary Payer). Beginning in 2015,
the program also applies a payment adjustment to eligible professionals
who do not satisfactorily report data on quality measures for covered
professional services.  This website serves as the primary and
authoritative source for all publicly available information and CMS-
supported educational and implementation support materials for the
Physician Quality Reporting."


This is the year you really have to participate in PQRS Reporting. And get
that 0.5% incentive payment eligibility. If you don't participate for the 2013
PQRS Reporting, you will be penalized by 2015! So make sure if you are
an eligible provider to participate with the PQRS Reporting. Please act
now.

Just to let everyone know, CMS - The Centers for Medicare & Medicaid
Services (CMS) will definitely impose a 1.5% penalty in 2015 of your
allowed fee schedule and a 2% penalty for 2016 and after.

Nobody wants to lose money! So please act now.


There are 2 Reporting Periods for Eligible Professionals to Report 2013
PQRS Measures Groups:

1. Twelve (12) Months period from January 01, 2013 to December 31,
2013; or

2. Six (6) Months period from July 01, 2013 to December 31, 2013 (but
this reporting period is only available through the REGISTRY)

An eligible professional who choose to report and have satisfactorily
reports using more than one reporting option will be able to obtain a
maximum of one incentive payment equal to 0.5%
based on Medicare Part B Fee Shedule estimated allowed charges for
covered professional services furnised during the longest reporting period
for which the eligible professional satisfied reporting criteria.


Total of 22 PQRS Measure Groups:

Diabetes Mellitus (DM)
Chronic Kidney Disease (CKD)
Preventive Care Measures
Coronary Artery Bypass Graft (CABG)
Rheumatoid Arthritis (RA)
Perioperative Care
Back Pain
Hepatitis C
Heart Failure (HF)
Coronary Artery Disease (CAD)
Ischemic Vascular Disease (IVD)
HIV/AIDS
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Inflammatory Bowel Disease (IBD)
Sleep Apnea
Dementia
Parkinson’s Disease
Hypertension (HTN)
Cardiovascular Prevention
Cataracts
Oncology






Here's a Question from one of my readers
on Reporting PQRS 2013:

"Do  we have to report the intent G code on every submitted claims?"

NO. You will only report this only once, not on more than one claim.

According to CMS -- "The submission of the intent G-code serves as
the indication that an eligible professional is choosing to report on a
measures group and will initiate measures group analysis.
It is not
necessary to submit the measures group-specific intent G-code on more
than one claim.
If the G-code for a given group is submitted multiple
times during the reporting period, only the submission with the earliest
date of service will be included in the PQRS analyses; subsequent
submissions of that code will be ignored."

"My provider wants to submit CLAIMS-BASED reporting. Do we have
to sign up or register with CMS in order to participate?

NO. You don't need to sign up or pre-register when reporting PQRS
2013.  But you need to know if your provider is one of the eligible
professionals who can participate with PQRS.

Here's the list of the
List of Eligible Professionals


Ok now, here are the:

Important Materials you need to have to get started with PQRS:  
These PDF Files were all downloaded from CMS website:

2013 Physician Quality Reporting System (PQRS) Measures Groups
Specifications Manual

2013 Getting Started With Measure Groups for PQRS Reporting

2013 PQRS Measures Groups Release Notes

2013 Physician Quality Reporting System (PQRS) Quality-Data Code
(QDC) Categories
Reporting for 2013 ...

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