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Physicians Raise Concerns About PQRS

Feb 18, 2016

The AMA, together with the Medical Group Management Association (MGMA) and 43 specialty societies, including your Academy, recently sent a sign-on letter to the administration outlining 2016 Physician Quality Reporting System (PQRS) payment adjustments and informal review process issues.

The letter expresses the concern that physicians and group practices were incorrectly penalized under PQRS in 2016 as a result of the Centers for Medicare & Medicaid Services’ (CMS) inadequate feedback and informal review request methods. The letter also makes recommendations to improve these processes moving forward.

Without complete and actionable data as well as a streamlined process for correcting data inaccuracies and unwarranted penalties, physicians and group practices may not only be subjected to unfair Medicare reductions in the immediate payment year but also in future years as they are unable to correct unidentified reporting issues. 

View the full letter.