CMS Quality Reporting

Today, otolaryngologist's are subject to multiple quality reporting initiatives that affect their bottom line. Through the Electronic Health Record (EHR) Meaningful Use Incentive Program, the Electronic Prescribing (eRx) Incentive Program, the Physician Quality Reporting System (PQRS) Incentive Program and the Value Based Payment Modifier (VBPM), physicians may be subject to payment reductions in 2015 if they do not begin to participate in these programs.

The Academy has published updated fact sheets, available in the May 2014 edition of the Bulletin, to provide information on how you can successfully participate in each of these initiatives, possibly earn incentive payments, and avoid payment reductions. The Academy has also published a fact sheet on the new CMS Physician Compare website, a tool that correlates with the quality programs.

NEW & UPDATED ACADEMY FACTSHEETS:

Click below to learn more about each program.

 

Additional Information

Title: 
Electronic Health Records (EHR) Incentive Program
Body: 

The Electronic Health Records (EHR) Incentive Program is an initiative from CMS designed to facilitate the use of EHRs in clinical settings. Eligible professionals, hospitals, and critical access hospitals that demonstrate meaningful use of EHRs are eligible for incentive programs. For eligible professionals, incentive programs can accumulate up to $44,000 total by 2015 if they begin to successfully participate in 2012. Learn More

Title: 
Electronic Prescribing (eRx) Incentive Program
Body: 

The Electronic Prescribing (eRx) Incentive Program is a reporting program that uses a combination of incentive payments and payment adjustments (penalties) to encourage electronic prescribing by eligible professionals. The program provides an incentive payment to practices with eligible professionals (identified on claims by their National Provider Identifier [NPI] and Tax Identification Number [TIN]) who successfully e-prescribe for covered Medicare Physician Fee Service Schedule (MPFS) services for Medicare Part B Fee-for-Service (FFS) beneficiaries. Learn More

Title: 
Physician Quality Reporting System (PQRS)
Body: 

The Physician Quality Reporting System (PQRS), a Center for Medicare & Medicaid Services (CMS) initiative, provides incentive payments and payment adjustments to physicians and other eligible professionals who successfully report data on quality measures. PQRS begins adopting payment adjustments (penalties) in 2015; however, the penalties will be based on participation during the 2013 reporting period. Learn More

Title: 
Value Based Payment Modifier
Body: 

The Value Based Payment Modifier assesses both quality of care furnished and the cost of that care under the Medicare Physician Fee Schedule. CMS has begun with a phase-in of the VBPM in 2015, which will be complete by 2017. Implementation of the VBPM is based on participation in PQRS. Learn More

Title: 
Physician Compare Program
Body: 

Physician Compare is a CMS website that allows the public to find and select physicians who are currently enrolled in the Medicare program as well as other information on providers who participate in CMS quality programs. Learn More