articleNov 19, 2014 | 4 min. read
GPRO 2015: Is it Worth it?
Last week, we covered the registry-and claims-based reporting methods for PQRS. In this post, I’ll discuss the complexities associated with reporting PQRS using the Group Practice Reporting Option (GPRO). In past years, GPRO seemed to be the most practical option for practices with more than two eligible professionals. This year, however, Medicare added more stipulations to the GPRO program—and in some cases, those add-ons might make the whole thing more trouble than it’s worth. The Basics of …
articleNov 17, 2014 | 1 min. read
PQRS 2015 Measures
While PQRS measures specifications won’t be available until December, we do know which individual measures are available for 2015. Here’s the breakdown by specialty: PT #126 Diabetes Foot/Ankle Evaluation #127 Diabetes - Footwear Evaluation #128 BMI screening #130 Current Medications #131 Pain Assessment #154 Falls Risk Assessment #155 Falls POC #182 Functional Outcome Assessment OT #128 BMI screening #130 Current Medications #131 Pain Assessment #154 Falls Risk Assessment #155 Falls POC #134 Preventative Screening Clinical Depression #173 …
articleNov 13, 2014 | 8 min. read
Here's What PTs, OTs, and SLPs Need to Know About PQRS 2015
In the spirit of the season, today we give thanks for Medicare’s brand new Final Rule . Drier than overcooked turkey, we decided to carve up this bird into the most pertinent chunks of Physician Quality Reporting System (PQRS) information for you and your practice so you don’t have to. Here’s what you need to know about PQRS 2015: Measures, Measures, Measures Medicare likes measures––225 of them to be exact––and they don’t care who knows. Thankfully, all …
articleNov 11, 2014 | 3 min. read
PQRS vs. FLR: What's With All These G-Codes?
FFS, POC, CMS, PQRS, FLR—it can be hard to keep track of Medicare’s long list of acronyms . Throw in G-codes, and you might find yourself drowning in alphabet soup. Even more confusing: we use G-codes for both PQRS and FLR, and yet, these two types of G-codes are not interchangeable. PQRS G-Codes Let’s start with PQRS. Chances are, if you treat Medicare Part B patients, you’re reporting PQRS G-codes to CMS to either avoid a penalty …
articleNov 10, 2014 | 4 min. read
Why Providers Should go Registry-Based Instead of Claims-Based
It’s the most wonderful time of the year. No, I am not talking about the upcoming holiday season ; I’m talking about the L, M, N, O—wait for it—PQRS season. Now, before you roll your eyes at what you might call misplaced cheer, let me explain: PQRS doesn’t have to be groan-worthy—if you choose the best reporting method, that is (more on that later). CMS designed PQRS in an effort to improve the quality of data reporting …
articleNov 6, 2014 | 3 min. read
Final Rule 2015: Here’s What You Need to Know
The summary of this year’s Final Rule is hot off the presses, which means that—among other things—we now know the details regarding PQRS 2015. For those who have been following the PQRS saga since the program first came into being in 2007, it should come as no surprise that Medicare has yet again upped the ante for compliance. Based on the fact sheet CMS provided , here’s the scoop on this year’s reporting requirements: Eligible professionals who …
articleJun 23, 2014 | 1 min. read
New Remittance Advice Codes for PQRS Claims-Based Reporting
As of July 1, 2014, all PQRS-eligible professionals participating in claims-based reporting for 2014 will need to use the updated Remittance Advice Remark Codes (RARCs) that went into effect on April 1, 2014. The old RARCs will become inactive on the same date. According to the Centers for Medicare and Medicaid Services (CMS), eligible professionals who bill a $0.00 quality data code (QDC) line item on or after July 1, 2014, will receive the N620 code instead …
articleJun 12, 2014 | 2 min. read
Register for 2014 PQRS GPRO by September 30
Per the Centers for Medicare and Medicaid Services , if you want to participate in the 2014 PQRS program as a group practice, now’s the time to register for the group practice reporting option (GPRO). To do so, access the Physician Value-Physician Quality Reporting System (PV-PQRS) registration system here . You’ll need a valid Individuals Authorized Access to the CMS Computer Services (IACS) user ID and password. The registration deadline is September 30, 2014. Participating as a …
articleApr 16, 2014 | 2 min. read
2013 PQRS Interim Claims Feedback Data Now Available
Did you participate in claims-based PQRS reporting in 2013? If you would like to confirm that the Centers for Medicare and Medicaid Services (CMS) received your data—or if you want to review the data that you submitted—you can now do so by viewing CMS’ interim claims feedback report for 2013. According to CMS, “If you are an individual eligible professional who reported at least one PQRS quality measure in 2013 via claims-based reporting, you can now view …
articleJan 17, 2014 | 5 min. read
PQRS Back Pain Measures Group Clarification
It’s a new year, and you know what that means: a new PQRS reporting period. Many WebPT Members have already started reporting PQRS data—and that’s great. The sooner you begin reporting, the sooner you’ll reach the minimum reporting requirements and thus ensure you avoid the 2% penalty. As you might recall from this blog post , you have a few different options when it comes to satisfactory PQRS reporting. For those practitioners who treat a large population …
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