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The Physician Quality Reporting System (PQRS) wrapped up in 2018 when Medicare issued payment adjustments for the 2016 reporting year. And soon the PQRS website will be a thing of the past.
The slight increase in the conversion factor means little or no change in reimbursement for most of your E/M codes and other high volume services – with two exceptions.
Take time to download - and decipher - the quality and resource use report for your practice's clinicians. That's the only way you'll know whether individual providers or the entire practice will be subject to a pay cut based on their 2016 physician quality reporting system efforts.
If the term enterprise identity management (EIDM) doesn't ring a bell, you may not be able to see the quality report cards for your clinicians and your practice when CMS releases them. If you can't see the reports, you could miss your only chance to dispute CMS' decision to apply quality and cost pay cuts against individual clinicians or the entire group in 2018.
More small practices can quality for exclusions from the Quality Payment Program (QPP), claim hardship exceptions from electronic health record (EHR) requirements or earn automatic bonus points if the proposed QPP rule released June 20 is finalized.


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