Although Medicare has been increasing the pressure on providers to prepare for value-based health care, we still encounter many providers who are unaware or confused. Big clue: we see all too many large provider organizations that are developing RFPs for PQRS reporting without also including an evaluation of their risk under the Value-Based Payment Modifier (VBPM).
If you are unaware that successful PQRS reporting in 2015 can still result in an even greater performance penalty under the VBPM, up to 4 percent of your 2017 revenues, this post is for you.
The VBPM is a calculation by Medicare that compares your performance against other providers, and tiers you as better, neutral or worse. If you are worse and your group has 10 or more eligible providers, you will get a 4 percent penalty; for fewer than 10 eligible providers, you will receive a 2 percent penalty⎯and this is not negotiable.
Read these recent ICLOPS Insights posts to find out more:
- Academic Medical Centers at Risk: How to Survive Medicare and Medicaid Value-Based Health Care (4-7-15)
- Your VBPM Incentive Payment Could Be Higher Than You Expect⎯If You Act Now (4-21-15)
- Better Hypertension and Diabetes Outcomes: From Basic Measurement to a Plan for Improvement (4-28-15)
- Who Else Cares for Your Patients? How the Wrong Patient Attribution Can Skew Your VBPM (5-5-15)
- Prove You’re a Top Tier Health Care Provider: Six Essentials for Your Value-Based Purchasing Game Plan (5-12-15)
- Provider Network Growth? How to Avoid Unanticipated Medicare VBPM Penalties (5-26-15)
- Orthopedists’ Survival Kit: How to Succeed with Medicare PQRS and VBPM (7-1-15)
- Anesthesiologists’ Best Practices: How to Succeed with Medicare PQRS and VBPM (7-8-15)
- Radiologists’ Tool Kit: How to Succeed in PQRS and VBPM (8-18-15)
- How to Boost Your VBPM with ICD-10 (8-25-15)
Founded in 2002, ICLOPS has pioneered data registry solutions for improving patient health. Our industry experts provide comprehensive PQRS Reporting with VBPM Consultation Solutions that help you both report and improve your performance. ICLOPS is a CMS Qualified Clinical Data Registry.
Photo Credit: Richard McMillan