PQRS Changes for 2015
To avoid the 2 percent 2017 penalty of all Medicare Part B, Medicare as a secondary payer, and Railroad Medicare allowables less durable medical equipment and injected drugs, ophthalmologists must successfully report one of the six reporting options.
The following changes are in effect for 2015 PQRS reporting:
- Four new measures have been added to registry reporting:
- Two new measures are only available to report through an EHR:
- Measure 18: Diabetic retinopathy: documentation of presence or absence of macular edema and level of severity of retinopathy, has been deleted from claims and registry reporting, and is only available to report through an EHR system.
- The cataracts measures group increased to eight measures, including the newly added Measures 388 and 389.
- The claims and qualified registry reporting options increased to nine measures to avoid the penalty, and include the requirement that at least one “cross-cutting” measure must be reported.
View all 2015 PQRS Measure Specifications.
Disclaimer and Limitation of Liability
All information provided by the American Academy of Ophthalmology, its employees, agents, or representatives who participate in the Academy’s coding service is based on information deemed to be as current and reliable as reasonably possible. The Academy does not provide legal or accounting services or advice, and you should seek legal and/ or accounting advice if appropriate to your situation. Coding is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that either public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from any such information provided by the Academy, its employees, agents or representatives. The Academy’s sole liability for any claim connected to its provision of coding information or services shall be limited to the amount paid by you to the Academy for the information or coding service.
© 2015 American Academy of Ophthalmology. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise without prior written permission from the publisher. CPT® is a trademark of the American Medical Association.