Value-based care methodology is beginning to affect all specialties, including gastroenterology. Here are six important dates regarding the shift from fee-for-service reimbursement to value-based payment, according to the American Gastroenterological Association Roadmap to the Future of GI Toolbox.
• Spring 2014 to Sept. 30, 2014. Period to participate in the Physician Quality Reporting System to avoid payment penalties in 2016.
• Jan. 1, 2015. Payment will be adjusted based on value-based payment modifiers for groups of 100 or more physicians (based on 2013 performance).
• February 2015. Estimated deadline to submit claims-based reporting for the 2014 PQRS reporting period.
• March 2015. Estimated deadline to submit registry-based reporting via the AGA Digestive Health Recognition Program.
• August 2015. CMS sends QRURs to all physician groups and solo practitioners.
• Jan. 1, 2016. Payment is adjusted based on VBPM for physicians in groups of 10 to 99 and groups of 100 or more (based on 2014 performance).
More Articles on Gastroenterology:
ACG Releases New Idiosyncratic Drug-Induced Liver Injury Guidelines
GI in the News: 5 Gastroenterologists Making Headlines
11 Years of Colonoscopy Utilization & Outcomes: 7 Points to Know
• Spring 2014 to Sept. 30, 2014. Period to participate in the Physician Quality Reporting System to avoid payment penalties in 2016.
• Jan. 1, 2015. Payment will be adjusted based on value-based payment modifiers for groups of 100 or more physicians (based on 2013 performance).
• February 2015. Estimated deadline to submit claims-based reporting for the 2014 PQRS reporting period.
• March 2015. Estimated deadline to submit registry-based reporting via the AGA Digestive Health Recognition Program.
• August 2015. CMS sends QRURs to all physician groups and solo practitioners.
• Jan. 1, 2016. Payment is adjusted based on VBPM for physicians in groups of 10 to 99 and groups of 100 or more (based on 2014 performance).
More Articles on Gastroenterology:
ACG Releases New Idiosyncratic Drug-Induced Liver Injury Guidelines
GI in the News: 5 Gastroenterologists Making Headlines
11 Years of Colonoscopy Utilization & Outcomes: 7 Points to Know