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Quality improvement initiatives such as the Physician Quality Reporting System (PQRS) are intended to improve health care outcomes for patients. The health care marketplace has witnessed growing interest by third-party payers, both public and
private, in the development of pay-for-performance and other "quality improvement" programs. Psychologists, as well as physicians, need to keep abreast of this trend.
Formerly known as the Physician Quality Reporting Initiative (PQRI), the Physician Quality Reporting System is a voluntary reporting program that provides a financial incentive for certain health care professionals, including psychologists, who participate in Medicare.
Reporting in PQRS consists of selecting measures that match your Medicare population and identifying the types of services you provide to those patients.
Psychologists who participate in Medicare must report on three PQRS measures in 2014 or risk a reduction in payment for their services in 2016. The penalty will be a 2 percent reduction in Medicare payments beginning in 2016.
Successful participation in 2014 is necessary to avoid the 2016 penalty.
Health Assets Management, Inc. has arranged to have NY State Psychologists utilize the Johns Hopkins University registry to report the PQRS measures. This will eliminate the need for noting the PQRS codes on claims submitted to Medicare. It also allows psychologists to report on 3 additional measures and a “measures group” that are not available to practitioners who are not reporting through a registry.
Carmel L Gold LCSW BCD will present the facts about PQRS for psychologists, will offer resources to assist psychologists in recording and reporting the appropriate measures and will offer psychologists an opportunity to sign up with the Johns Hopkins University registry.