Physician Groups of 10 or More: Action Needed by December 31 to Avoid Payment Penalties

The Centers for Medicare & Medicaid Services (CMS) is encouraging physician groups with 10 or more eligible providers (EPs) to take action to avoid an automatic negative 2% Value Modifier payment adjustment in 2016. Groups that did not register to participate in the PQRS Group Practice Reporting Option (GPRO) in 2014 must ensure that at least 50% of the EPs in the group participate in PQRS as individuals in 2014 and select a PQRS reporting mechanism no later than December 31, 2014.

The 2014 PQRS measures submission process for most individual reporting options begins on January 1, 2015. To learn more, please review the CMS announcement.

For questions about the sign-up process or PQRS, please contact the QualityNet Help Desk at 1-866-288-8912 or via email at For questions about the Value Modifier, please contact the Physician Value (PV) Help Desk at 1-888-734-6433 (select option 3).

Read the full article here.

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