1.5% Penality Coming to Physicians Who Do Not Comply in 2013!

It is not too late to avoid the 1.5% Medicare payment REDUCTION in 2015 and receive a .5% BONUS for participating in PQRS in 2013.

According to CMS, “To avoid the 2015 PQRS payment adjustment, individual EPs and group practices participating in the PQRS Group Practice Reporting Option (GPRO) will have to satisfactorily report data on quality measures for covered professionals services provided in 2013. Reporting during the 2013 PQRS program year will be used to determine whether a PQRS payment adjustment applies in 2015.” http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Payment-Adjustment-Information.html

Who does this effect?

“Eligible Professionals” (EPs) are those who submit claims to Medicare carriers and are paid under or based on the Medicare Physician Fee Schedule (PFS) For a full list of EPs click here

What are the reporting requirements?

Reporting requirements vary depending on which reporting mechanism you choose. The 2013 PQRS program includes a total of 259 quality measures, 51 of which are EHR-based measures. EPs must report at least three individual measures or one measures group. For more information visit the How to Get Started page at cms.gov

How do I report PQRS Data?

There are three methods that can be used for reporting PQRS Data:

  1. Claims-Based Reporting
  2. Registry Reporting
  3. EHR Reporting (Direct or through a Data Submission Vendor)

Am I too late to participate for 2013?

NO! While Claims-Based reporting requires you to report on claims for the full 12 months of 2013 and does not allow rebilling of claims to add on PQRS information, both Registry Reporting and EHR Reporting are done in one single report after year end. (Deadline for EHR Reporting is February 28, 2014, however data submission vendors may require an earlier deadline in order to give them ample time to submit to CMS on your behalf.)

What do we recommend?

Claims based reporting can be an overwhelming and cumbersome task for the entire office. For users that are already on Medisoft Clinical or LytecMD you are one step ahead! In many cases we can offer you a nearly hands-off solution. With our AZCOMP Analytics web-based program we can do a quick installation that connects your data to an online reporting tool where you can track and monitor the measures that you will be reporting. AZCOMP Analytics includes a total of 6 measures of your choosing giving you breathing room to make sure that you achieve the required benchmarks on at least three.

Data is uploaded automatically every night making the reports near real-time. There is minimal amount of training involved and our solution takes care of the actual submission to CMS for you! Best of all you will now have eyes on your patient population with the ability to drill down and see which specific patients are falling below benchmarks so you can concentrate on providing the BEST care!

What does one of your peers have to say about AZCOMP Analytics?

Our purpose at AZCOMP is to “Empower small practices to provide the BEST care.” Your patients are our mothers and fathers, our spouses and children, our siblings, friends and neighbors- we all depending on you! It’s our job to provide you the tools you need to empower you to make the best and most informed decisions for them, which is why we were ecstatic to hear Dr. Robert J. Bloomberg’s response after helping him implement AZCOMP Analytics in his office:

“Beyond the reporting (PQRS), what interested me in this program is we wanted to use it as a dynamic measure of how we are doing our job. The whole idea is we are trying to transition from patient management to population management and that is exactly what this does. Beyond getting mired in the details of a particular patient we want a global look at how we are looking after our patients with particular parameters or illness or disease, so this is exactly what we wanted!

Graph

It is really quite outstanding! It’s web based so I can access it from anywhere. I can sort, filter, and export patient lists, including the lab or vitals data and it generates a “to-do” list of patients we need to concentrate on. We can have meetings and start to see how we are doing and decide what to do as a practice to improve our numbers. It’s really going to help us. I always like to ask myself “Is this going to improve the way we practice medicine?” I’ve been looking for a way to manage our population and this program will definitely do that!Patient Drill Down

Beyond just basic processing or collating the data, this actually pulls it to a population level that really makes Medisoft Clinical (EMR) immensely valuable!”

Robert J. Bloomberg, M.D
Tempe, AZGeneric Video

Disclaimer: AZCOMP Technologies, Inc, (AZCOMP) is providing this material as an informational reference for eligible professionals. Although every reasonable effort has been made to assure the accuracy of the information within these pages at the time of posting, the Medicare program is constantly changing, and it is the responsibility of each provider to remain abreast of the Medicare program requirements.