PQRS Reporting Election Required by October 15, 2013

Providers who wish to elect to participate in the PQRS Group Practice Reporting Option (GPRO) or elect the Administrative Claims option for the 2013 performance year must do so by Oct. 15. A new system has been created to elect these options, the Physician Value- PQRS (PV-PQRS) system. To access the PV-PQRS system, you will need an Individuals Authorized Access to the CMS Computer Services (IACS) account. CMS also recently released a document to assist providers in determining whether future payment adjustments will be incurred for not successfully participating in various quality reporting programs including PQRS, the VBPM, the e-prescribing incentive program and the EHR Incentive

If your group is a Member of MGMA you can learn more about GPRO and the Administrative Claims options and reference the MGMA Interactive PQRS Impact Assessment Tool to get a feel for the impact that PQRS will have on your 2014-2018 Medicare reimbursement.

CMS Proposes Onerous Changes to PQRS Reporting Requirements

Medicare is proposing sweeping changes to its Physician Quality Report System (PQRS) as part of its annual rulemaking process. Included in the FY 2014 Medicare Fee Schedule proposed rule are changes to the PQRS criteria that will adversely impact physician anesthesiologists. ASA is urging all members to submit comments to CMS regarding these changes.

ISSUE –Many ASA members use the “claims-based” method of reporting PQRS measures since it permits successful reporting when there are fewer than three measures applicable to an eligible professional (EP). At present, the Centers for Medicare & Medicaid Services (CMS) has criteria in place for physician anesthesiologists to successfully report quality measures; however, the proposed rule for the 2014 Medicare Physician Fee Schedule seeks to alter the criteria in a way that will place physician anesthesiologists at a great disadvantage. CMS is moving toward elimination of the claims-based reporting mechanism and is seeking comment as to whether that mechanism should be eliminated in 2017. Some of the actions described in the proposed rule would sharply curtail claims-based reporting even sooner. Specifically, of the more than 40 proposed new measures CMS intends to add to the 2014 PQRS, none allow reporting via claims.

Additionally, CMS proposes to increase the required number of measures that must be reported from the current three (3) measures to nine (9). These nine measures must cover at least three of the National Quality Strategy (NQS) domains: Patient and Family Engagement; Patient Safety; Care Coordination; Population and Public Health; Efficient Use of Health Care Resources; and Clinical Processes/Effectiveness.

Currently, there are a maximum of three measures applicable to most physician anesthesiologists. They all are within a single domain. Accordingly, if Medicare’s proposed rule is finalized, anesthesiologists will be unable to satisfactorily meet reporting requirements. This change would have a significant impact on anesthesiologist’s practice because 2014 is the performance period for your 2014 PQRS incentive and for the 2016 PQRS penalty adjustment.

WHAT CAN YOU DO? ASA has put together a grassroots effort to communicate how disadvantaged these new rules would make it for the Anesthesiology subspecialty. If you wish to join the grassroots effort use the link below and follow the ASA’s recommended steps.   http://www.asahq.org/For-Members/Advocacy/Washington-Alerts/ASA-members-urged-to-contact-CMS-2.aspx