A POPULATION HEALTH MANAGEMENT COMPANY

What is the maximum VBM penalty if I do not report PQRS?

For groups 2-9 EPs, solo practitioners and non-physician practitioners, an automatic -2.0% VBM downward adjustment will be applied for failing to meet the satisfactorily reporting criteria to avoid the 2017 PQRS penalty. This is -2.0% VBM downward adjustment is in addition to the automatic PQRS penalty of 2.0%.

For groups of 10 or more EPs, an automatic -4.0% VBPM downward adjustment will be applied for not meeting the satisfactory reporting criteria to avoid the 2017 PQRS payment adjustment. This is -4.0% VBM downward adjustment is in addition to the automatic PQRS penalty of 2.0%.

Posted in: Value Based Payment Modifier