Deadlines You Need to Know Now: MIPS, QRUR, PQRS, Physician Compare

 In Articles, MACRA, Meaningful Use, Medicare Quality Programs, MIPS, News, Policy Updates, PQRS

Here are the deadlines you and your medical practice must know for 2016 and early 2017.

November 12

Deadline for reviewing quality data that will be posted on the Physician Compare website. CMS is posting quality performance data on a public website and will be encouraging seniors to use this to evaluate and select providers. You have only 30 days to review your data before it goes public. Only certain measures will be posted. Further Information and instructions on how to check your data can be found at the Physician Compare Initiative webpage.

November 30

Deadline for filing an Informal Review Request for PQRS and VBM payment adjustments for 2017. You’ll want to review your PQRS Feedback Reports and Quality Resource and Utilization Reports (QRUR) as soon as possible. Many practices are finding errors on these reports that result in reduced payments of up to 6% in 2017. For example, some providers who reported 2015 PQRS through Measure Groups are finding that CMS has not appropriately calculated measures where all 20 patients were excluded. Your only opportunity to get these errors corrected ends November 30th. Follow these links for instructions on accessing your reports and filing Informal Review Requests: PQRS Feedback Reports, QRUR reports.

November ???

We are still waiting for final word from CMS on whether the 2016 Meaningful Use reporting period will be officially shortened from 12 months to any consecutive 90 days. This major change was proposed in June and we expect it will be confirmed shortly. Your last 90 day period to meet the Modified Stage 2 requirements would be October-December 2016. Watch the Meaningful Use website for confirmation of this important change.

December 31

End of reporting period for 2016 PQRS and Meaningful Use. You should have a plan in place for how you will participate in these two programs to avoid up to a 9% Medicare payment reduction in 2018. And you should be actively implementing that plan NOW. You have until February/March to report the information to CMS but your window for collecting data and tweaking your processes is rapidly closing.

January 1, 2017

Start of first reporting period for the new Merit-Based Incentive Payment System (MIPS). This program revises and combines the current PQRS, Value-Based Modifier and Meaningful Use program into a single program with Medicare payments impacted starting in 2019. The MIPS program is part of the MACRA legislation passed in 2015, providing a major overhaul to how physicians are paid by implementing a true Pay for Performance model. The Final Rule for this major initiative was released October 14 at 2,300 pages in length. MSOC is reviewing the rule and will send a Vital Stats email at the end of October outlining major changes.

Need help?

Contact our MSOC expert, Jeanne Chamberlin at 919-442-2422 or She will also be providing webinars on various topics over the coming months.

PQRS for Procrastinators
November 9, 2016
Discount Code: Chamberlin20

MIPS – The Final Rules for 2017 Reporting
December 6, 2016

Understanding MACRA and MIPS
December 8, 2016
Discount Code: Chamberlin20

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