PQRS

Upcoming Events

SHIP is your local State Health Insurance Assistance Program. SHIP provides unbiased help to Medicare beneficiaries, their families, and caregivers. Whether you are new to Medicare, reviewing Medicare plan options, or have questions on how to use your Medicare, SHIP can help.

Medicare PFS 2025: What You Need to Know about CCM and APCM Programs - Sept. 17

The Medicare Physician Fee Schedule 2025 Proposed Rule brings major changes: lower reimbursements, the removal of code G0511, and a new program, Advanced Primary Care Management (APCM). Our care management partner, ChartSpan, is hosting an educational webinar to dive into these changes and what they mean for your practice. APCM is an exciting new program thats open to all Medicare patients and could help significantly improve outcomes.

KAHPAM Education Program - Sept. 20

The KAHPAM objectives are to make available a wide range of resources for members advance the development of effective patient account management and registration procedures stimulate the exchange of information and further the educational and personal development of its members provide an educational opportunity for the patient access and account managers and broaden and improve the capabilities of their personnel in the management of patient accounts

Kansas Healthcare Preceptor Acacemy - Sept. 24

The Healthcare Preceptor Academy is designed to engage and grow current and future preceptors with key education tools andstrategies to foster a strong preceptororientee relationship. This interactive program providesinformation and practical tools to improve preceptor abilities. As a preceptor, you can make a difference in how a new employee adjusts to your hospital.

NRHA CAH Conference - Sept. 25-27

The National Rural Health Association's Rural Health Clinic and Critical Access Hospital Conferences are your chance to share, network, and learn from clinic and CAH stakeholders from across the country.Take advantage of the educational and networking opportunities designed for clinic and hospital professionals and board members serving rural America.

PQRS

The Physician Quality Reporting System, PQRS, is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals (EPs). Under PQRS, covered professional services are those paid under or based on the Medicare Physician Fee Schedule (PFS). To the extent that eligible professionals are providing services which get paid under or based on the PFS, those services are eligible for PQRS incentive payments and/or payment adjustments.

The Kansas Hospital Association is working with the Kansas Healthcare Collaborative, the Kansas Medical Society and the Kansas Foundation for Medical Care to gather resources for providers to facilitate participation in PQRS and avoid penalties. Some reference materials are listed below:

PQRS 2016 Payment Adjustment Notification Letters

CMS PQRS Timeline

2015 PQRS Payment Adjustment and Providers who Rendered Services at RHCs/FQHCs

2014 PQRS Preparation Information & Checklist

MLN Connects National Provider Call on PQRS September, 2014

PQRS Incentive Eligibility and Negative Payment Adjustment Review

PQRS 2015 Payment Adjustment Quick Reference Guide

PQRS and Part-B services at RHCs, FQHCs, and CAHS

2015 Physician Quality Reporting System Qualified Clinical Data Registries

Other Resources:

DTA Associates

Minnesota Community Measurement