Under the Merit-based Incentive Payment System (MIPS) eligible clinicians (EC) are to report quality and cost data to CMS starting this year (2017). This data will be used to determine Medicare Quality Payment Program (QPP) adjustments (positive or negative) in 2019. Because 2017 has been designated as a “transition” year, the amount of reporting required of ECs is minimal.
Medical Billing Blog
Individual eligible professionals (EPs) or those that are part of a group practice participating in PQRS must satisfactorily report data on quality measures during 2014 to avoid the 2016 payment adjustment. CMS has produced a document entitled 2016 PQRS Payment Adjustment that explains how to avoid the payment adjustment.