Most physicians do not meet Medicare quality reporting requirements

Washington, DC – A new Harvey L. Neiman Health Policy Institute study shows that fewer than one-in-five healthcare providers meet Medicare Physician Quality Reporting System (PQRS) requirements. Those that meet PQRS thresholds now receive a .5 percent Medicare bonus payment. In 2015, bonuses will be replaced by penalties for providers who do not meet PQRS requirements. As it stands, more than 80 percent of providers nationwide would face these penalties.

Researchers analyzed 2007-2010 PQRS program data and found that nearly 24 percent of eligible radiologists qualified for PQRS incentives in 2010 — compared to 16 percent for other providers. The Neiman Institute study is published online in the Journal of the American College of Radiology.

"Near term improvements in documentation and reporting are necessary to avert widespread physician penalties. As it stands, in 2016, radiologists collectively may face penalties totaling more than $100 Million. Although not a specific part of this analysis, penalties for nonradiologists could total well over $1 Billion," said Richard Duszak, MD, chief executive officer and senior research fellow of the Harvey L. Neiman Health Policy Institute. "Compliance with PQRS requirements has improved each year but more physicians need to act now: their performance in 2013 will dictate penalties for 2015."

The Neiman Institute conducts and supports research regarding medical imaging use, quality and safety metrics, and human resources as medicine moves toward non-traditional, value-based payment and delivery. The data gleaned from these efforts will serve as the basis for true, evidence-based medical imaging and health care policy.

To read the study, visit: http://bit.ly/UmOQ3o

For more information regarding the Neiman Health Policy Institute, visit neimanhpi.org.

To arrange an interview with a spokesperson, contact Shawn Farley at 703-648-8936 or PR@acr.org.

The Harvey L. Neiman Health Policy Institute is one of the nation's leading medical imaging socioeconomic research organizations. The Neiman Institute studies the role and value of radiology and radiologists in evolving health care delivery and payment systems and the impact of medical imaging on the cost, quality, safety, and efficiency of health care.