Medicare Opens Informal Review Request Period for the 2016 Value Modifier Now Through November 9, 2015 - McDermott+Consulting

Medicare Opens Informal Review Request Period for the 2016 Value Modifier Now Through November 9, 2015

Medicare has released the 2014 Annual Quality and Resource Use Reports (QRURs) for every group practice and solo practitioner nationwide.

Medicare has released the 2014 Annual Quality and Resource Use Reports (QRURs) for every group practice and solo practitioner nationwide. For groups with 10 or more eligible professionals (EPs) who are subject to the 2016 Value Modifier, the QRUR shows how the Value Modifier will apply to physician payments under the Medicare Physician Fee Schedule (PFS) in 2016. The Value Modifier adjusts PFS payments (both positively and negatively) to a physician or group of physicians based on the quality and cost of care furnished to their Medicare Fee-for-Service (FFS) beneficiaries. For groups with fewer than 10 eligible professionals and solo practitioners, the QRUR is for informational purposes only and will not affect their payments under the Medicare PFS in 2016.