CMS releasing penalty letters for 2016 PQRS reporting
Practicing psychologists and other health care providers who did not successfully report quality measures in 2016 under the Physician Quality Reporting System (PQRS) will face a 2 percent reduction in all their Medicare Part B payments in 2018.
The Centers for Medicare and Medicaid Services (CMS) announced Sept. 18 that it will soon be sending out letters notifying psychologists, other individual eligible professionals and group health care practices about the 2018 payment adjustment for quality reporting under PQRS. PQRS reporting ended in December 2016.
As in previous years, those who believe they are being penalized in error may request an informal review. To request an informal review of their 2016 PQRS reporting psychologists must use a web-based tool on the Quality Reporting Communication support page at this website. Requests for an informal review must be submitted by Dec. 1, 2017. CMS will review the informal request and issue a decision within 90 days of receipt.
Reviewing the PQRS Feedback Report
Before submitting an informal review request, psychologists should access and review their 2016 PQRS reporting feedback reports to determine why they are being penalized. The feedback report contains detailed information needed to determine the 2016 PQRS reporting results and indicates if the psychologist is subject to the 2018 PQRS downward payment adjustment. Psychologists who believe the report is inaccurate or that they are being held responsible for reporting measures that are not applicable to their practice are encouraged to request an informal review. Information on how to access your 2016 feedback report is available on the CMS website.
For additional information please contact the QualityNet Help Desk at (866) 288-8912 (TTY 877-715-6222) or via email. The QualityNet Help Desk is available from 7am-7pm Central Time Monday through Friday.
You can also email questions about PQRS to the Practice Organization. Additional information about PQRS and why the reporting program ended in 2016 is available at APA Practice Central.
The CMS Sept 18, 2017 announcement can be viewed online.