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New PQRS report outlines measure trends and 2017 penalties

June 15, 2017

The Centers for Medicare & Medicaid Services (CMS) released the 2015 PQRS Experience Report, which details PQRS participation trends in 2015 and earlier. Overall participation increased 14% from 2014. However, many physicians and group practices still opted not to participate due to a lack of clinical relevance and undue administrative burden. As a result, more than 500,000 PQRS-eligible providers are subject to a 2% Medicare payment reduction in 2017 because they did not meet PQRS requirements in 2015. Providers were more likely to face a penalty if they were part of smaller practices, had lower Medicare physician fee schedule allowed charges, or had lower beneficiary volume.

PQRS has been replaced by the Merit-Based Incentive Payment System (MIPS) in 2017.

2015 PQRS Experience Report

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