2014 Physician Quality Reporting
The 2014 PQRS reporting period is the last year to earn the 0.5 percent bonus payment of total Medicare Part B allowed charges. Participation in 2014 PQRS will also allow you to avoid a 2 percent payment reduction in 2016.
The 2014 Medicare Physician Fee Schedule final rule includes one new dermatology measure related to psoriasis, bringing the total number of dermatology measures to five for the 2014 reporting year.
However, CMS also raised the number of PQRS measures that providers must report on, from 3 to 9, but lowered the reporting threshold from 80 percent to 50 percent.
To avoid the 2016 payment reduction, you must now report on at least three measures, but CMS lowered the reporting threshold to 50 percent for this option as well.
To report on nine measures for PQRS, dermatologists may apply other measures — not specific to dermatology ― that are still applicable to their practices. The AAD has developed a list of other measures that dermatologists will be able to report on through the Academy’s forthcoming 2014 QRS registry:
- Measure #137 — Melanoma: Continuity of Care — Recall System
- Measure #138 — Melanoma: Coordination of Care
- Measure #224 — Melanoma: Overutilization of Imaging Studies
- Measure #265 — Biopsy Follow-Up
- Measure #TBD — Tuberculosis Prevention for Psoriasis and Psoriatic Arthritis Patients on a Biological Immune Response Modifier
- Measure #130 — Documentation of Current Medications in the Medical Record
- Measure #131 — Pain Assessment and Follow-Up
- Measure #173 — Preventive Care and Screening: Unhealthy Alcohol Use — Screening
- Measure #194 — Oncology: Cancer Stage Documented
- Measure #205 — HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia and Gonorrhea
- Measure #226 — Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- Measure #245 — Chronic Wound Care: Use of Wound Surface Culture Technique in Patients with Chronic Skin Ulcers (Overuse Measure)
- Measure #246 — Chronic Wound Care: Use of Wet to Dry Dressings in Patients with Chronic Skin Ulcers (Overuse Measure)
- Measure #321 — CG-CAHPS Clinician/Group Survey
- Measure #TBD — Closing the referral loop: receipt of specialist report
See the 2014 Medicare Physician Fee Schedule final rule for more information.