October 25, 2016
From international law firm Arnold & Porter LLP comes a timely column that provides views on current regulatory and legislative topics that weigh on the minds of today’s physicians and health care executives.
On Sept. 26, CMS posted 2017 payment adjustment notices for the Physician Quality Reporting System (PQRS) and Value-Based Payment Modifier (Value Modifier) programs on the CMS Enterprise Portal. For some providers, downward payment adjustments under both programs may be as high as –6% of all Medicare services paid under the Physician Fee Schedule (PFS) in 2017 (–2% for PQRS and –4% for Value Modifier). Providers have until Nov. 30 to submit informal review requests to CMS if they believe they have been incorrectly assessed a negative payment adjustment under either program.