Frequently Asked Questions

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FAQ

How will benchmarking be applied to practices reporting via Qualified Clinical Data Registries (QCDRs) for non-Physician Quality Reporting System (PQRS) measures?

To the extent that individual eligible professionals (EPs) and TINS are reporting data to QCDRs on measures that are already in PQRS, we will include these data in the calendar year (CY) 2016 Value Modifier computations, using the data reported in CY2016 and benchmarks from CY2015 data, as long as the reported measures meet the criteria for inclusion in the Value Modifier calculation. To be included in Value Modifier calculations, PQRS measures must have at least 20 cases at the TIN-level and must have a benchmark available for the measure. We are unable to include non-PQRS measures that are newly reported in 2016, because we do not have 2015 data available for benchmarking.

For more information on Value-Based Payment Modifier, please see http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/ValueBasedPaymentModifier.html.

For more information on Value-Based Payment Modifier, please see http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/ValueBasedPaymentModifier.html.


(FAQ10758)

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