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Take Action by September 30 to Avoid Automatic CY 2016 Value-Based Payment Modifier Downward Payment

Are you practicing in a group with 10 or more eligible providers (EPs)? If so, you may need to take immediate action to avoid a two-percent Medicare payment reduction related to the Value-Based Payment Modifier.

EPs include physicians, practitioners, physical or occupational therapists, qualified speech-language pathologists and qualified audiologists. A group of physicians is defined by its Medicare-enrolled Taxpayer Identification Number (TIN). EPs who are not participating in the Physician Quality Reporting System (PQRS) in CY 2014, or another quality reporting initiative , will be affected by the payment adjustment applied in 2016. If you are participating as a group, you must register for the PQRS Group Practice Reporting Option (GRPO) by September 30, 2014 to avoid this penalty.

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