By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    What Are the Benefits of CBD?
    November 27, 2021
    How to Measure Adult Diapers- The Ultimate Guide to Picking the Right Size
    March 8, 2022
    medicine cabinet
    The Effect Of Finished Dosage Form Manufacturing In New Drugs
    July 5, 2022
    Latest News
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
    The Wide-Ranging Benefits of Magnesium Supplements
    June 11, 2025
    The Best Home Remedies for Migraines
    June 5, 2025
    The Hidden Impact Of Stress On Your Body’s Alignment And Balance
    May 22, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    turo lawyer
    Why A Good Turo Lawyer Can Help Cover Medical Fees
    April 8, 2024
    Comprehensive Healthcare Treatment for Slip and Fall Injuries: A Guide to Recovery
    Comprehensive Healthcare Treatment for Slip and Fall Injuries: A Guide to Recovery
    December 26, 2023
    Medical Negligence
    The Impact of Medical Negligence: How Claims Can Help You Move Forward
    January 6, 2025
    Latest News
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
    Top HIPAA-Compliant Messaging Apps for Healthcare Teams
    June 25, 2025
    When Healthcare Ends, the Legal Process Begins: What Families Should Know About Probate and Medical Estates
    June 20, 2025
    Preventing Contamination In Healthcare Facilities Starts With Hygiene
    June 15, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: PQRS and the Benefits of Participating in 2015
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > PQRS and the Benefits of Participating in 2015
Health ReformPolicy & LawPublic Health

PQRS and the Benefits of Participating in 2015

Andy Salmen
Andy Salmen
Share
4 Min Read
Data_-_PQRS_Benefits
SHARE

Data_-_PQRS_BenefitsWhat is PQRS?

Data_-_PQRS_BenefitsWhat is PQRS?

The Physician Quality Reporting System (PQRS) initially known as Physician Quality Reporting Initiative (PQRI) was created under the 2006 Act – Tax Relief and Health Care.  The program was made permanent under Medicare Improvement for both Providers and Patients Act of 2008; this Act also saw the incentive payments for PQRS increased. Moreover, several changes came in 2010 with the passage of ACA, which also included subjection to penalties beginning in 2015 and removal of incentives.

According to the Center for Medicare and Medicaid Services (CMS), the overall goal of the PQRS program is to collect useful data that can lead to improving health care of the patients and practitioners all together.  That’s one of the reasons why it is very important to participate in the QPRS 2015.

More Read

Modern Health Practices
What Does Science Say About Modern Health Practices?
Can Obstructive Sleep Apnea Treatment Help Diabetics?
These Addictions May Be Coping Mechanisms For Anxiety Or Depression
As a Physician Do You Have Adequate Financial Expertise?
Doctors Without Borders VS Johnson and Johnson Who Will Not Donate Licenses for HIV/AIDS Drugs as Others Have

Why participate in PQRS 2015?

  • Avoiding the penalty

According to CMS, doctors have had plenty of time to begin using the PQRS. CMS offers an option for administrative claims so as to ease up your participation. In fact, CMS itself is allowed to look into your claims. CMS will be provided with data by the physician for processing.  As a physician if you choose this option you will not be penalized, but will not receive any incentives either. Unlike the previous years, from 2015 onwards there will be no additional incentives, instead there will be penalties. For example, in 2015 as physicians if you fail to participate you will be penalized 1.5% based on 2013 reporting. In order to avoid this penalty you need to participate in the PQRS 2015 program.

There will be further adjustment in 2016 to 2.0% based on 2014 report and same for subsequent years as a penalty for not participating.

  • Implications on other programs

Proper PQRS reporting data can implicate more than just a program.  Even though it is clarified by CMS that participation in other programs does not prevent or help PQRS penalties or incentives respectively, it may help boost your reception of incentives in others.

As it stands now, only 20 or so groups participate in VBPM program (value–based payment modifier), but it is expected that by 2017 the program will be available to all physicians.  You can therefore expect that by reporting year of 2015 the compliance will be industry–wide. VBPM is highly dependent on how well PQRS data is reported. Any wrong or unsatisfactory 2013 report or total failure in reporting of any data will warrant a penalty of 1% in 2015, not forgetting the additional QPRS payment penalty. Participating in PQRS in 2015 will help you to prepare so that you’re not adversely affected when the modifier starts to apply to everyone.

  • Consistency with MSSP, VBPM, and other programs

Participating in PQRS 2015 may also help reduce corresponding reports that you submit to different programs within CMS. For example, the criteria that was used in 2014 by PQRS largely adopted the second stage meaningful use (across three domains nine measures were reported) and the measures for arriving at the meaningful use component measure of clinical quality. If you you’re your time, you’ll note that PQRS, e–prescribing, meaningful use, MSSP and VBPM all share some common elements. These similarities however minor can prove very important for the emerging programs.

Summary

Considering the highlighted benefits, it may be wise to fully participate in 2015 PQRS. As you can see, failure to participate may not just bar you from the potential benefits of the program, but may also expose your practice to a number of financial repercussions. 

Image: suphakit73/freedigitalphotos.net

TAGGED:PQRS
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

9 Lifestyle Tweaks That Can Add Years to Your Life
9 Healthcare Lifestyle Tweaks That can Add Years to Your Life
lifestyle
July 11, 2025
car accident lawsuit
Let Your Lawyer Handle the Work Before You Pay Medical Costs
Policy & Law
July 6, 2025
women dental care
What Is a Smile Makeover and How Much Does It Cost?
Dental health
June 30, 2025
HIPAA-Compliant Messaging Apps
Top HIPAA-Compliant Messaging Apps for Healthcare Teams
Global Healthcare Policy & Law Technology
June 25, 2025

You Might also Like

obamacare cash
BusinessFinanceHealth ReformHospital AdministrationPolicy & LawPublic Health

Health Care’s Anti-Cash Bias

April 11, 2013
Medical Ethics

It’s All the Doctors’ Fault

September 14, 2011
keep-your-politics-out-of-my-healthcare-RALLY
FinanceHealth ReformPolicy & LawPublic Health

GAO Confirms Health Insurance Rating Rules Hike Premiums for Young People

August 7, 2013
BusinessFinanceHealth ReformHospital AdministrationPolicy & Law

Unless You Are The Lead Dog on the Sled, The Scenery Never Changes

January 14, 2014
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?