![]() ![]() The CAP is working to maintain its quality measures and evaluate opportunities for new measures for pathologists to report under the new program.įor more information on MIPS, watch the CAP's webinar on reimbursement reforms under the Medicare Access and CHIP Reauthorization Act (MACRA). Reporting for MIPS begins in 2017 and MIPS Medicare payment adjustments take effect in 2019. Quality reporting is a category under reforms that will create Medicare's Merit-based Incentive Payment System (MIPS). Quality reporting will remain an important aspect of the Medicare program. By comparison, 68% of all eligible physicians will not receive the negative PQRS adjustment in 2016. According to the latest CMS PQRS experience report, 84% of pathologists are avoiding the PQRS penalty which reduces Medicare payment by 1.5% in 2016. In 2015, pathologists avoided $13.5 million in PQRS penalties by using the CAP's measures for pathology. In addition to earning PQRS bonuses, the vast majority of pathologists continue to avoid Medicare penalties by reporting measures developed by the CAP. Roughly $24 million in PQRS bonuses have been paid to pathologists since 2009. Pathologists in 2014 earned $3.1 million by reporting PQRS measures developed by the CAP. According to the latest experience report on the Physician Quality Reporting System (PQRS), 86.3% of eligible pathologists earned a Medicare bonus by reporting quality measures developed by the CAP.Ī total of 8,920 pathologists received a PQRS incentive bonus, according to a Centers for Medicare & Medicaid Services (CMS) report on the 2014 PQRS reporting year. ![]()
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