This year holds many changes for U.S. healthcare, including modifications to the Physician Quality Reporting System. The most significant change for 2014 is that the claims reporting mechanism is no longer available as an option for reporting the Rheumatoid Arthritis Measures Group. While you can’t report the RA Measures Group through claims for 2014, you can report the measures group through a registry, such as the Rheumatology Clinical Registry (http://www.rheumatology.org/Practice/Clinical/Rcr/Rheumatology_Clinical_Registry). Listed below are some additional facts regarding 2014 PQRS.
Who is eligible?
Under PQRS, covered professional services are those paid under or based on the Medicare Physician Fee Schedule.
- Medicare physicians
- Practitioners
- Therapists
How to report—select one
- Claims-based—Individual measures only
- Registry reporting
- EHR data submission
- Group practice reporting option
- Qualified clinical data registry
What to report—select one
- The RA Measures Group
- Nine individual measures across three NQS domains
The incentive payment for successful reporting is 0.5%, and the payment will be assessed fall 2015.
The payment adjustment for failing to successfully report is 2.0% and will be assessed fall 2016.
Additional Resources
Contact ACR staff for additional information and resources regarding the Rheumatology Clinical Registry. Staff may be reached at rcr@rheumatology.org.