PQRS and Prada: The Importance of Building Your Quality Wardrobe

prada-blogWith summer now in full swing, I’m going through my summer attire and have found myself questioning my fashion style. I feel like it’s time to trade in my classic look for something more stylish!

I see a similar trend when I talk with clients about PQRS reporting—they are looking to revamp their reporting style. With more providers subject to penalties under both the Physician Quality Reporting System (PQRS) and the Value-Based Payment Modifier (V-BPM) programs, there is more riding on quality reporting—so it is important to ensure you are dressed for success.

Why building the right quality reporting “wardrobe” is important to your revenue:

If not reporting PQRS in 2015:

  • All PQRS-eligible providers are subject to a 2% PQRS penalty in 2017 and
  • An additional Value-Based Payment Modifier penalty based on group size:
    • 2% for Solo practitioners and groups of 2-9 providers
    • 4% for groups of 10 or more providers

If reporting PQRS in 2015, practices will be evaluated on quality and cost:

  • Solo practitioners and groups of 2-9 PQRS-eligible providers could see a potential increase of up to 2% in 2017
  • Groups of 10 or more providers could receive between a 4% penalty and a 4% incentive

Select the option that’s the best style and fit for you from the list below:

This chart summarizes the PQRS reporting options. The definitive source of requirements is: www.cms.gov/pqrs.

This chart summarizes the PQRS reporting options. The definitive source of requirements is: www.cms.gov/pqrs.

Are you dressed for quality reporting success? Let us know what ensemble fits you the best!

Christine Schiff

Christine Schiff

Government Affairs Specialist at SRS Health
Christine has been with SRS for over 5 years, working in Government Affairs and serving as the HIPAA Privacy Officer. She is devoted to providing excellent customer service, and she translates this passion into the work she does to support government program compliance. She has an expert understanding of MU and PQRS and serves as a valuable client resource.

Prior to joining SRS, Christine worked at NYU for 11 years where she also obtained her Bachelor of Science in Healthcare Management.
Christine Schiff
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About Christine Schiff

Christine has been with SRS for over 5 years, working in Government Affairs and serving as the HIPAA Privacy Officer. She is devoted to providing excellent customer service, and she translates this passion into the work she does to support government program compliance. She has an expert understanding of MU and PQRS and serves as a valuable client resource. Prior to joining SRS, Christine worked at NYU for 11 years where she also obtained her Bachelor of Science in Healthcare Management.

3 thoughts on “PQRS and Prada: The Importance of Building Your Quality Wardrobe

  1. Hi Christine-
    I have a question. I keep getting notifications that today is the last day to register for GPRO. We usually use Docsite to submit PQRS data. If I use them do I still need to register for GPRO?

  2. Hi Carolyn,

    Thank you for your comment. You likely don’t have to register as a GPRO. GPRO is an option that allows a practice to report an aggregate of their quality measure data instead of individually for each provider. When reporting through a registry (like Docsite), GPRO reporting may or may not be an option. You should check with the registry to be sure but it will not be necessary for you to sign up as a GPRO if the registry plans to report for each of your providers individually.

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