PQRS 2016 — no major changes, but the value-based modifier raises the stakes

Why This Topic Matters

PQRS performance affected Medicare quality reporting compliance and payment adjustments, so even modest changes could influence reporting workflows, vendor selection, and the risk of negative payment impacts.

Article Sections

1. Quality reporting

   Introduces the article’s focus on CMS quality reporting structure and the main reporting concepts practices needed to track for 2016.

2. Take note of measures changes

   Summarizes updates to measure availability, reporting methods, and domain status changes relevant to PQRS participation.

3. MAV still in effect

   Covers the measures applicability validation process and its role in assessing whether a provider met reporting expectations.

4. CMS walks back new survey requirement

   Describes changes to CAHPS participation requirements for group practices and differences by practice size.

5. Keep an eye on registries

   Explains registry-related timing and approval considerations for practices using or evaluating registry-based reporting options.