As the fourth quarter of 2015 begins, many providers may be getting nervous about their Physician Quality Reporting System (PQRS) participation. With financial penalties between 2% and 6% of total Medicare payments, providers have a reason for concern. The PQRS related penalty is 2% of total Medicare payments for all providers. The penalties associated with the Value Based Modifier program or VM can be as high as 4% of total Medicare payments depending on group size. However, even the PQRS procrastinators out there still have an opportunity to avoid these financial penalties.
While the penalties and administrative requirements of the PQRS program have increased, the options to report have increased as well. For 2015, radiologists still have the opportunity to report on PQRS by reporting on an individual basis through a traditional PQRS registry or a Qualified Clinical Data Registry (QCDR) through the American College of Radiology (ACR). A summary of important dates and changes to the PQRS program in the last few months are included below:
- Radiologists can still participate in PQRS using a traditional PQRS registry or the QCDR through the ACR.
- If a radiologist wishes to participate using the QCDR, they must register through the ACR website no later than October 31st of 2015. Additional registration through the ACR is required by November 30th of 2015.
- Additional information regarding the QCDR can be found by visiting acr.org
- Radiologists who report less than 15 patient encounters per year are exempted from the ‘cross-cutting measure’ requirement.
- Independent Diagnostic Testing Facilities (IDTF’s) are still not eligible to participate in PQRS.
Wendy Driscoll, MBA
Senior Client Manager