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Reporting Deadline for PQRS 2016 Data: March 31, 2017

By: Cal LaGroue

March 2, 2017

We at The Valletta Group want to remind all medical providers that it’s not too late to meet the 2016 reporting deadline for PQRS. In order to avoid a 4-6% reimbursement penalty on Medicare Part B claims in 2018, medical providers must submit certain 2016 PQRS data no later than March 31, 2017.

There are three reporting options to choose from, all of which require providers to submit data on a specific amount of 2016 patient interactions. Providers can choose to report individually or as a group.

Reporting Options:

1) Report on at least 9 individual measures covering 3 National Quality Strategy (NQS) domains for at least 50% of the Eligible Professional’s (EP) Medicare Part B FFS patients seen during the reporting period. (Individual Reporting Option)

2) Report at least 1 measures group on a 20-patient sample, a majority of which (at least 11 out of 20) must be Medicare Part B FFS patients. (Individual Reporting Option)

3) For PQRS group practices of 2-99 EPs, report on at least 9 measures covering 3 NQS domains for at least 50% of the group’s Medicare Part B FFS patients. (Group Reporting Option)


For further explanation of the PQRS reporting requirements, please visit:
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/MeasuresCodes.html

Under the “Resources for 2016 PQRS Measures” sub-header, you’ll find various helpful documents available to download, including a full list of qualifying PQRS Measures, as well as a detailed guide to PQRS reporting.


Learn more about The Valletta Group

About the Author: Cal LaGroue

Cal has over a decade of experience in the Revenue Cycle Management industry. He serves as Board Secretary for the Healthcare Business Management Association (HBMA), the leading organization for Revenue Cycle Management professionals. He's also accredited by the HBMA as a Certified Healthcare Business Management Executive (CHBME).

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