CMS Physician Quality Reporting Requirements: How to Avoid Penalties

Practice Management

According to a report from Medscape, physicians will receive a 1.5 percent payment reduction penalty from Medicare in 2015 if they do not participate in the Physician Quality Reporting System this year.

Physicians have until Oct. 15 to take advantage of the program. The program was previously voluntary and physicians who participated were given a small bonus, but it because mandatory this year. Individual physicians report performance data on quality measures through Medicare claims, electronic health records, patient registry or another outside data capturing system, according to the report.


In 2016, the penalty will increase to a 2 percent reduction in reimbursement for non-participating physicians.


Two other ways for physicians to avoid the penalty is to submit performance data early next year or ask CMS to use 2013 claims to calculate their quality grade.


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