Medicare Rules and Regulations…Great, Something Else to Do

Physician Quality Reporting System (PQRS) changes will impact future Medicare reimbursement for audiologists billing for Medicare Part B.

According to the proposed 2013 Medicare Physician Fee Schedule rule, the Centers for Medicare and Medicaid Services (CMS) will deduct 1.5 percent per claim from all 2015 Part B payments to eligible health-care professionals, including audiologists, who do not meet the satisfactory reporting requirements to report at least one applicable PQRS measure for Medicare covered services in 2013. In other words, you must participate in PQRS in 2013 in order to avoid a payment reduction in 2015.

The Audiology Quality Consortium (AQC) has developed a resource regarding PQRS reporting titled, http://www.audiology.org/practice/PQRI/Documents/PQRS_ReportingAudiologyQualityMeasures.pdf    Reporting Audiology Quality Measures: A Step-by-Step Guide.

On a final note, please heed the phrase, “Don’t kill the messenger!”  We provided this information in case you weren’t aware of the upcoming changes.  Please remember, we provided it, we didn’t create it and we agree that one more set of regulations is not what the doctor ordered.

About The Author

Robbie Bright-Poole

Robbie Ann Bright-Poole is currently the President and one of the founders of Oracle Hearing Group. Mrs. Poole opened her Audiology practice, Bright Hearing Center, in 1989. The success of her practice afforded her the opportunity to mentor others seeking a similar measure of success. She sold her practice and decided to make mentoring others in the field of Audiology a full-time business. Oracle Hearing Group obtained its first client in 2004. In addition to overseeing the day to day running of the Oracle she is the primarily responsible for the creation of the enormous amount of content that is at the disposal of each Oracle client.

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