Guidance on QPP Final Rule & MIPS

CMS Includes Audiologists in the Quality Payment Program

2017 PQRS Results: Submit an Informal Review by November 30

In 2017, CMS will apply a downward payment adjustment to those who did not satisfactorily report for the Physician Quality Reporting System (PQRS) in 2015 including:

  • Individual eligible professionals
  • Comprehensive Primary Care practice sites
  • PQRS group practices
  • Accountable Care Organizations

If you believe you have been incorrectly assessed the 2017 PQRS payment adjustment, submit an informal review through November 30:

Join a Virtual Office Hours Session Focused on 2016 Physician Quality Reporting System (PQRS) Participation Overview

The Centers for Medicare & Medicaid Services (CMS) announced that it will be hosting a Virtual Office Hours session regarding 2016 Physician Quality Reporting System (PQRS) Participation Overview onTuesday, April 12, 2016, from 1:00 – 2:00 p.m. Eastern Time (ET).

Novitas Revises Medicare LCD for Vestibular and Audiologic Function Studies (L35007): Adds ICD-10 Codes for Conductive Hearing Loss and Dizziness and Giddiness (R42)

In late 2015, the Academy received reports from audiologists reporting denials for pertinent and appropriate ICD-10 codes that supported medical necessity for the audiology procedure codes being billed.  Upon further research, the Academy discovered that the

CMS Announces Submission Timeframes for 2015 Physician Quality Reporting System (PQRS) Data

On January 19, the Centers for Medicare & Medicaid Services (CMS) announced the 2015 PQRS data submission timeframes:

  • EHR Direct or Data Submission Vendor (QRDA I or III) - 1/1/16 - 2/29/16
  • Qualified Clinical Data Registries (QCDRs) (QRDA III) - 1/1/16 - 2/29/16
  • Group Practice Reporting Option (GPRO) Web Interface - 1/18/16 - 3/11/16

Information about PQRS Penalty Letters Affecting 2016 Medicare Reimbursement

The Physician Quality Reporting System (PQRS) penalty letters for 2014 (affecting 2016 Medicare reimbursement) have been sent out.  If you have not received your letter, please go to QualityNet web site to view your performance/feedback report.

In order to avoid the 2% reduction in traditional Medicare reimbursement in 2016, audiologists would have needed to report the following on at least 50% of eligible beneficiaries in 2014:

Update on Academy Initiatives: Interview with President Erin L. Miller, AuD

Douglas L. Beck, AuD, speaks with Dr. Miller about hiring the new executive director, Tanya Tolpegin, reimbursement structures, itemization, bundling, unbundling, outcomes, legislative efforts, ADA, direct access, and more.

Douglas L. DLB (DLB): Hi, Erin. It’s a pleasure to speak with you! Now that we’re about in the middle of your tenure as president of the American Academy of Audiology, I’d like to get an update and see how things are going.

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