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CMS to issue payment reduction for 2014 PQRS reporting

September 11, 2015
by Nicole Stempak, Associate Editor
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The Centers for Medicare & Medicaid Services (CMS) started sending letters today to registrants who did not adequately report under the Physician Quality Reporting System (PQRS) in 2014.

Letters were sent to individual eligible professionals providing services at a critical access hospital billing under method II and group practices.

The letter indicates that registrants for the 2014 PQRS group practice reporting option did not satisfactorily report quality measures. As a result, all of their 2016 Medicare Part B Physician Fee Schedule payments will be subject to a 2 percent reduction.

There are no hardship exemptions for the PQRS payment adjustment.

Participants who believe they have been incorrectly assessed may submit an informal review until Nov. 9. Requests must be submitted electronically via the the Quality Reporting Communication Support Page.

All informal review requestors will be contacted via email with a final decision within 90 days of filing. All decisions are final.