PQRS Financial Impact on GI: What Do Gastroenterologists Need to Know?

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Beginning in 2015, the Physician Quality Reporting System will begin to impact physician reimbursement.

The American Gastroenterological Association released a series of tools designed to help gastroenterologists thrive in the changing healthcare environment. Here are three important dates and three important financial considerations to know about PQRS and how it will affect gastroenterologists.

Important dates

•    Spring 2014. Submit data for 2013 reporting period to avoid 1.5 percent payment cut in 2015
•    February 2015. Estimated deadline to submit claims for 2014 PQRS reporting period
•    March 2015. Estimated deadline to submit registry-based reporting via AGA Digestive Health Recognition Program

Financial consequences

•    1.5 percent payment cut. Physicians who fail to report 2013 PQRS measures will face a 1.5 percent payment cut in 2015.
•    2 percent payment cut. Physicians who fail to report 2014 PQRS measures will face a 2 percent payment cut in 2016.

Financial incentive

•    0.5 percent incentive payment. Physicians participating in the 2013 reporting period will receive a 0.5 percent incentive payment based on total estimated allowed charges for Medicare Part B FFS. Physicians will receive an additional 0.5 percent increase for completing the maintenance of certification program.

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