Presentation on theme: "July 15, 2014 NATIONAL ANESTHESIA CLINICAL OUTCOMES REGISTRY (NACOR)"— Presentation transcript:
July 15, 2014 NATIONAL ANESTHESIA CLINICAL OUTCOMES REGISTRY (NACOR)
Successful PQRS Participation PQRS+MOCNot Participating Successfully in PQRS 20130.5%1.0%-1.5% (in 2015) 20140.5%1.0%-2.0% (in 2016) 2015 2016-2.0% (based on 2014 reporting 2017-2.0% (based on 2015 reporting) PQRS Incentive/Penalty Amounts* *% of Total Allowable Medicare Part B FFS Charges No PQRS Incentive, Potential +% with Value Modifier
VALUE MODIFIER INCENTIVE/PENALTY Performance year VM YearPhysician Group Size Possible VM Outcomes 20132015100+ EPs VM -2.0% penalty (no PQRS) 0% Up to +2.0x incentive (budget neutral) 20142016 100+EPs -2.0% penalty (no PQRS or low score) 0% Up to 2.0x incentive (budget neutral) 10+EPs VM -2.0% penalty (no PQRS) 0% Up to +2.0x (budget neutral) 20152017 ALL INDIVIDUAL PHYSICIANS Penalty % TBD (no PQRS or low score) 0% Incentive % TBD
Increase reporting requirements Emphasis on National Quality Strategy domains New Qualified Clinical Data Registry (QCDR) option EHR reporting option ok for GPROs Measures groups registry-only reporting Measures applicability validation for registry Eliminate Administrative Claims option
CMS-approved entity that collects clinical data for patient/disease tracking for quality improvement QCDRs are typically specialty society registries like AQI’s National Anesthesia Clinical Outcomes Registry (NACOR) Measure data across multiple payers, not limited to Medicare beneficiaries Allowed to report “non-PQRS” and PQRS measures for successful PQRS reporting
Greater potential to meet the 9/3 reporting requirements; increasing strictness with other reporting mechanisms. Meeting multiple requirements/needs: PQRS participation Maintenance of certification part IV Quality improvement Support better outcome under the Value Modifier program; using a QCDR, quality scores: Are easier to monitor and improve throughout the reporting year Could be higher because of the frequent feedback/monitoring Greater choice of measures to report=potential higher quality scores.
PQRS Requirements for Individual EPs Gain the 2014 PQRS Incentive (0.5%) Avoid the 2014 PQRS Payment Adjustment (-2.0%) NEW: Qualified Clinical Data Registry (QCDR) Report 9 measures across 3 NQS domains for 50% of all applicable cases (at least one “outcome” measure) Report 3 measures across at least 1 NQS domain for 50% of all applicable cases (at least one “outcome” measure Traditional Qualified Registry Report 9 measures across 3 NQS domains for 50% of applicable Medicare Part B FFS cases OR If < 9 measures apply, report 1- 8 measures for 1+ NQS domains, subject to the Measures Applicability Validation (MAV) process Be 2014 PQRS incentive eligible OR Report ≥ 3 measures for at least 50% of applicable Medicare Part B FFS patients OR If < 3 measures apply, report 1-2 for 1+ NQS domains, subject to the Measures Applicability Validation (MAV) process
National Anesthesia Clinical Outcomes Registry (NACOR) NACOR is a clinical data registry approved by CMS as a QCDR for the 2014 PQRS program. ASA and AQI collaborated in developing the measures to be included Proposed Measures
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