Performance Measurement

NEWS FROM CMS
NATIONAL PROVIDER CALLS
CMS PHYSICIAN QUALITY REPORTING SYSTEM


NEWS FROM CMS

Physician Quality Reporting System (PQRS) 2015 Mid-Year QRURs Available

CMS has released the 2015 Mid-Year Quality and Resource Use Reports (QRURs) to groups and solo practitioners nationwide, including those who participated in the Shared Savings Program, the Pioneer Accountable Care Organization (ACO) model, or the Comprehensive Primary Care (CPC) initiative in 2015.

The 2015 Mid-Year QRURs were made available for informational purposes only and will not affect a group or solo practitioner’s payments under the Medicare Physician Fee Schedule. The Mid-Year QRUR contains information on a subset of the measures used to calculate the 2017 Value Modifier. The Mid-Year QRUR provides interim information about performance on the six cost and three quality outcomes measures that CMS calculates from Medicare claims. These are some of the measures used in the calculation of the Value Modifier. The information in the MYQRUR is based on care provided from July 1, 2014, through June 30, 2015, a period that precedes the actual calendar year 2015 performance period for the 2017 Value Modifier. More information about the Mid-Year QRUR can be found on the 2015 QRUR and 2017 Value Modifier web page.

The 2015 Mid-Year QRUR can be accessed on the CMS Enterprise Portal using an Enterprise Identity Management (EIDM) account with the correct role. More information about obtaining a Mid-Year QRUR can be found on the How to Obtain a QRUR web page.

 


New QRURs Releasing on 11/16/15

CMS identified issues that impacted the 2014 Annual Quality and Resource Use Reports (QRURs) released on September 8, 2015. There were issues with data submitted via electronic health record (EHR) and Qualified Clinical Data Registry (QCDR), as well as a technical issue with the claims used to calculate claims-based measures. CMS has successfully corrected these issues and produced revised 2014 Annual QRURs, which are now available via the CMS Enterprise Portal. For a small percentage of groups, this correction resulted in a change to their Value-Based Payment Modifier (Value Modifier) calculation, and these groups will receive a separate notification.

The 2014 Annual QRURs show how groups and solo practitioners performed in 2014 on the quality and cost measures used to calculate the 2016 Value Modifier. For groups with 10 or more eligible professionals (EPs) that are subject to the 2016 Value Modifier, the QRUR shows how the Value Modifier will apply to physician payments under the Medicare Physician Fee Schedule (MPFS) for physicians who bill under the group in 2016. For all other groups and solo practitioners, the QRUR is for informational purposes only and will not affect their payments under the MPFS in 2016.

 


How to access your TIN’s revised 2014 Annual QRUR

Authorized representatives for a group or solo practitioner can access the 2014 Annual QRURs on the CMS Enterprise Portal using an Enterprise Identify Data Management (EIDM) account with the correct role. For more information on how to access the 2014 Annual QRURs, visit How to Obtain a QRUR.

For groups with 10 or more EPs that are subject to the 2016 Value Modifier, CMS established an Informal Review Period to request a correction of a perceived error in their 2016 Value Modifier calculation. The informal review period for the 2016 Value Modifier is open through November 23, 2015 at 11:59 PM Eastern Standard Time; therefore, we strongly encourage that you access and review your TIN’s QRUR as soon as possible.

Additional information about the 2014 Annual QRURs, and how to request an informal review, is available on the 2014 QRUR website and through the QRUR Help Desk at pvhelpdesk@cms.hhs.gov or 888-734-6433 (select option 3).


SGR Repealed; CMS Launches Merit-Based Incentive Payment System

On April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law, thereby repealing the 1997 Sustainable Growth Rate (SGR) Physician Fee Schedule (PFS) Update. The Medicare PFS payment will now be based on participation in the Merit-Based Incentive Payment System (MIPS) and the Alternate Payment Model (APM); MIPS and APM will drive incentive payments beginning in 2019. CMS will assess performance based on standards for measures and activities across four performance categories: quality measures (30%); resource use measures (30%); clinical improvement activities (15%); and meaningful use of EHRs (25%). Initial policies will be proposed in a forthcoming regulation in 2016. Society staff are monitoring this issue closely and will submit comments when appropriate.


CMS Releases 2015 Impact Assessment of Quality Measures Report

The Centers for Medicare and Medicaid Services has released the 2015 National Impact Assessment of Quality Measures Report, which summarizes key findings from CMS quality measurement efforts and recommends next steps to improve on these efforts. To access the report, click HERE.


CMS Intends to Modify Requirements for Meaningful Use

On January 29, the Centers for Medicare & Medicaid Services (CMS) announced their intent to engage in rulemaking to update the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs beginning in 2015. These intended changes would help to reduce the reporting burden on providers, while supporting the long term goals of the program. The new rule, expected this spring, would be intended to be responsive to provider concerns about software implementation, information exchange readiness, and other related concerns in 2015. It would also be intended to propose changes reflective of developments in the industry and progress toward program goals achieved since the program began in 2011.

To read more about this announcement, please click HERE.


CMS Announces Availability of 2014 Supplemental Quality and Resource Use Reports

On September 28, CMS made the 2014 Supplemental Quality and Resource Use Reports (QRURs) available to every medical group practice and solo practitioner nationwide. Medical group practices and solo practitioners are identified in the Supplemental QRURs by their Taxpayer Identification Number (TIN). The Supplemental QRURs are also available for medical group practices and solo practitioners that participated in the Medicare Shared Savings Program, the Pioneer ACO Model, or the Comprehensive Primary Care initiative in 2014, in addition to those consisting of non-physician eligible professional (EPs).

The 2014 Supplemental QRURs provide information to TINs on the management of their Medicare fee-for-service (FFS) patients based on episodes of care (“episodes”). An episode is a resource use measure that includes the set of services provided to treat, manage, diagnose, and follow-up on a clinical condition or treatment. The 2014 Supplemental QRURs are for informational purposes only and complement the per capita cost and quality information provided in the 2014 Annual QRURs

 

Authorized representatives of group and solo practitioners can access the 2014 Supplemental QRURs on the CMS Enterprise Portal using an Enterprise Identify Data Management (EIDM) account with the correct role. Only TINs with at least one attributed episode will receive a full 2014 Supplemental QRUR. For more information on how to access the 2014 Supplemental QRURs, please see the “Instructions for Medical Group Practices and Solo Practices to Access Their 2014 Supplemental QRURs”, available for download on this CMS webpage.

 

For information about the 2014 Supplemental QRURs, contact the QRUR Help Desk at pvhelpdesk@cms.hhhs.gov or call 1-888-734-6433 (select option 3).

 

(Source: Centers for Medicare & Medicaid Services, 10/29/2015)


CMS Announces 2nd Quarter Interim Feedback Dashboard Reports are Now Available

CMS is pleased to announce that the 2014 Physician Quality Reporting System (PQRS) 2nd Quarter Interim Feedback Dashboard Reports are now available for eligible professionals who submitted data via claims between January 1, 2014 and June 30, 2014.

The 2nd Quarter Interim Feedback Dashboard Reports allows eligible professionals to access their 2014 PQRS data on a quarterly basis in order to monitor the status of PQRS claims-based individual measures reporting. The 2014 2nd Quarter Interim Feedback Dashboard Reports do not provide the final data analysis for the full-year reporting, or indicate 2014 PQRS incentive eligibility or subjectivity to the 2016 PQRS payment adjustment. Data submitted for 2014 PQRS reporting via methods other than claims will be available for review in the fall of 2015 through the final PQRS feedback report.

The 2014 Interim Feedback Dashboard User Guide is designed to assist eligible professionals with accessing and interpreting the 2014 interim dashboard data.

If needed, please contact the QualityNet Help Desk for assistance. They can be reached at 1-866-288-8912 (TTY 1-877-715-6222) or via qnetsupport@hcqis.org from 7:00 a.m. to 7:00 p.m. CST Monday through Friday.

(Source: Centers for Medicare and Medicaid Services, 10/06/2014)


New Frequently Asked Questions Now Available on CMS Website

To keep you updated with information on the Physician Quality Reporting System (PQRS), CMS has recently added two new FAQs to the website.

FAQ 10452 - The Certified EHR Technology (CEHRT) Day 1 FAQ is available for review. This FAQ provides information regarding when Certified Electronic Health Record Technology (CEHRT) must be implemented to be successful for 2014 PQRS reporting.

FAQ 10440 - The 2014 Registry XML NPI Validation FAQ is available for review. This FAQ provides guidance on the error message received when registries are submitting National Provider Identifiers (NPIs) for group practices participating via the group practice reporting option (GPRO) for 2014 PQRS.

Want more information about PQRS? Make sure to visit the CMS PQRS website for the latest news and updates on PQRS. You can also contact the QualityNet Help Desk at 1-866-288-8912 or via qnetsupport@hcqis.org. They are available from 7:00 a.m. to 7:00 p.m. CT Monday through Friday.

(Source: Centers for Medicare and Medicaid Services, 10/06/2014)


NATIONAL PROVIDER CALLS

National Provider Calls are educational conference calls hosted by the Medicare Learning Network Connects™ National Provider Call Program. They are conducted for the Medicare provider and supplier community, and educate and inform participants about new policies and/or changes to the Medicare program. Continuing education credit may be awarded for participation in certain MLN Connects™ Calls.

For questions, please contact the QualityNet Help Desk 1-866-288-8912 or via email at Qnetsupport@hcqis.org from 7:00 a.m. - 7:00 p.m. CT.

To Register, visit MLN Connects™ Upcoming Calls.

 

2016 PQRS Reporting: Avoiding 2018 Negative Payment Adjustments Call — Registration Now Open

Thursday, April 21 from 3 to 4:30 pm ET

To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

This call gives an overview of the 2016 Physician Quality Reporting System (PQRS) and related resources. The presentation will cover guidance and instructions on how individual eligible professionals and PQRS group practices can get started, satisfactorily report/participate, and avoid the 2018 PQRS negative payment adjustment. A question and answer session will follow the presentation. For a PQRS overview prior to the call, watch the 2016 Updates video.

Agenda:

  • CMS initiatives and quality measurement
  • PQRS getting started
  • 2016 PQRS reporting
  • 2016 reporting mechanisms, including claims reporting, qualified registry reporting, qualified clinical data registry, electronic reporting using electronic health record, group practice reporting option web interface, and consumer assessment of healthcare providers and systems

Target Audience: Physicians, Medicare individual eligible professionals and group practices, therapists, medical group practices, practice managers, medical and specialty societies, payers, insurers.

This MLN Connects Call is being evaluated by CMS for CME and CEU continuing education credit (CE). Refer to the call detail page for more information.

 


CMS PHYSICIAN QUALITY REPORTING SYSTEM

Meaningful Use Hardship Exemption
Prior to adjourning for the holidays, the U.S. Congress passed the Patient Access and Medicare Protection Act (PAMPA), which directed the Centers for Medicare and Medicaid Services (CMS) to make AMA-supported changes to the Medicare EHR Incentive Program hardship exception process that allows physicians to avoid a Meaningful Use (MU) penalty in 2017.

 

The AMA is encouraging ALL physicians subject to the 2015 Medicare MU program to apply for the hardship. CMS has stated that it will broadly accept hardship exemptions because of the delayed publication of the program regulations. Applying for the hardship will not prevent a physician from earning an incentive. It simply protects a physician from receiving an MU penalty. Therefore, physicians who believe that they met the MU requirements for the 2015 reporting period should still apply for the hardship protection. Note that the program operates on a two-year look-back period, meaning that physicians who are granted an exception for the 2015 program will avoid a financial penalty for 2017.

 

Step-by-step instructions for completing the hardship exception application are attached HERE. The application must be received by CMS by 11:59PM ET on March 15, 2016.

 


CMS Announces Submission Timeframes for 2015 Physician Quality Reporting System (PQRS) Data

The Centers for Medicare and Medicaid Services (CMS) has announced the following 2015 PQRS data submission timeframes. Eligible professionals who do not satisfactorily report quality measure data to meet the 2015 PQRS requirements will be subject to a negative PQRS payment adjustment on all Medicare Part B Physician Fee Schedule (PFS) services rendered in 2017.

  • EHR Direct or Data Submission Vendor (QRDA I or III) - 1/1/16 - 2/29/16

  • Qualified Clinical Data Registries (QCDRs) (QRDA III) - 1/1/16 - 2/29/16

  • Group Practice Reporting Option (GPRO) Web Interface - 1/18/16 - 3/11/16

  • Qualified Registries (Registry XML) - 1/1/16 - 3/31/16

  • QCDRs (QCDR XML) - 1/1/16 - 3/31/16

Complete information about PQRS and how to submit data is available at http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html . For questions, please contact the QualityNet Help Desk at 1-866-288-8912 or via email at Qnetsupport@hcqis.org from 7:00 a.m. - 7:00 p.m. Central Time.


2016 Medicare Physician Fee Schedule Final Rule Summary

The Centers for Medicare & Medicaid Services (CMS) released a final rule on October 30, 2015, which updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2016. This is the first PFS Final Rule since the repeal of the Sustainable Growth Rate (SGR) formula by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) in April.

This rule includes several changes in the PFS payments and new policies as a result of recently enacted legislation. Moreover, there are changes in the quality reporting initiatives such as the Physician Quality Reporting System (PQRS), the Physician Value-Based Payment Modifier (Value Modifier), the Medicare Electronic Health Record (EHR) Incentive Program, and the Physician Compare website on Medicare.gov.

Click HERE for a detailed summary of the 2016 Medicare Physician Fee Schedule Final Rule.


CMS Extends Deadline for Physician Quality Reporting System (PQRS) Informal Review Process

CMS is extending the 2014 Informal Review period. Individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, PQRS group practices, and Accountable Care Organizations (ACOs) that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment now have until 11:59 p.m. Eastern Time on December 16, 2015 to submit an informal review requesting CMS investigate incentive eligibility and/or payment adjustment determination. This is an extension from the previous deadlines of November 23 and December 11, 2015.


Informal Review Request Period for the 2016 Value Modifier Open Now Through December 16

The period for requesting an informal review of the 2016 Value Modifier is open now and ends December 16, 2015. For groups with 10 or more eligible professionals (EPs) that are subject to the 2016 Value Modifier, CMS established an Informal Review Period to request a correction of a perceived error in their 2016 Value Modifier calculation. This is an extension from the previous deadlines of November 23 and December 11, 2015.


2014 Annual Quality and Resource Use Reports Available

The 2014 Annual Quality and Resource Use Reports (QRURs) are now available for every group practice and solo practitioner nationwide. Groups and solo practitioners are identified in the QRURs by their Taxpayer Identification Number (TIN). The QRURs are also available for groups and solo practitioners that participated in the Medicare Shared Savings Program, the Pioneer Accountable Care Organization (ACO) Model, or the Comprehensive Primary Care initiative in 2014, and to those TINs consisting only of non-physician eligible professional (EPs).

The 2014 Annual QRURs show how groups and solo practitioners performed in 2014 on the quality and cost measures used to calculate the 2016 Value Modifier. For groups with 10 or more EPs that are subject to the 2016 Value Modifier, the QRUR shows how the Value Modifier will apply to physician payments under the Medicare Physician Fee Schedule (MPFS) for physicians who bill under the group’s TIN in 2016. For all other groups and solo practitioners, the QRUR is for informational purposes only and will not affect their payments under the Medicare PFS in 2016.

Authorized representatives of group and solo practitioners can access the 2014 Annual QRURs on the CMS Enterprise Portal using an Enterprise Identify Data Management (EIDM) account with the correct role. For more information on how to access the 2014 Annual QRURs, visit How to Obtain a QRUR.

For groups with 10 or more EPs that are subject to the 2016 Value Modifier, CMS established a 60-day Informal Review Period that begins after the release of the 2014 Annual QRURs, to request a correction of a perceived error in their 2016 Value Modifier calculation. The informal review period for the 2016 Value Modifier is open from September 9, 2015 through November 9, 2015.

Additional information about the 2014 QRURs and how to request an informal review is available on the 2014 QRUR website and through the QRUR Help Desk at pvhelpdesk@cms.hhhs.gov or 888-734-6433 (select option 3).


2016 Physician Quality Reporting System (PQRS) Payment Adjustment Notification

On September 11, 2015, CMS began distributing letters to Physician Quality Reporting System (PQRS) individual eligible professionals (EPs), EPs providing services at a Critical Access Hospital (CAH) billing under method II, and group practices regarding the 2016 PQRS negative payment adjustment. The letter indicates that either an individual EP, EPs providing services at a CAH billing under method II, or the group practices that registered for the 2014 PQRS group practice reporting option (GPRO) did not satisfactorily report 2014 PQRS quality measures in order to avoid the 2016 negative PQRS payment adjustment and, therefore, all of their 2016 Medicare Part B Physician Fee Schedule (MPFS) payment will be subject to a 2.0% reduction.

The 2016 PQRS payment adjustment letter sent to individual EPs includes a Tax Identification Number (TIN)/National Provider Identifier (NPI) combination; the adjustment applies only to the individual EP associated with the TIN/NPI noted within the letter and not the clinic or facility. The 2016 PQRS payment adjustment letters sent to PQRS group practices includes a TIN only and applies to all EPs who have reassigned their billing rights to the TIN. Please check your letter in the upper left hand corner to determine if it contains your TIN or TIN/NPI.

In sum, all individual EPs, EPs providing services at a CAH billing under method II, and group practices that billed services under the MPFS for Medicare Part B beneficiaries in 2014 must have satisfactorily reported to the PQRS in order to avoid the 2016 negative PQRS payment adjustment.

What were the reporting criteria for 2014 (to avoid the 2016 Payment Adjustment)?

As stated in the 2014 PQRS List of Eligible Professionals, PQRS covered professional services are those that are paid under or based on the MPFS. To the extent that individual EPs, EPs providing services at a CAH billing under method II, or group practices are providing services which get paid under or based on the MPFS, those services are eligible for PQRS incentive payments and/or payment adjustments. Services payable under fee schedules or payment systems other than the MPFS are not included in PQRS. Therefore, if an EP or PQRS group practice rendered services under the MPFS in 2014 and did not meet the 2014 PQRS satisfactory reporting requirements, they were sent this letter to indicate that they will be subject to the 2016 PQRS payment adjustment.

If I’ve received the payment adjustment letter, what are my options?

CMS would also like to remind individual EPs, EPs providing services at a CAH billing under method II, and group practices that there are no hardship exemptions for the PQRS payment adjustment. If you believe that the 2016 negative PQRS payment adjustment is being applied in error, you can submit an informal review request. All informal review requests must be submitted via a web-based tool, the Quality Reporting Communication Support Page (Communication Support Page), during the informal review period. Please note: Informal review is happening now and available for a limited time! Informal review is the process in which CMS will investigate whether an EP met the criteria for satisfactorily reporting under PQRS. The deadline to request an informal review is 60 days from the release of PQRS Feedback reports. More information and instructions for requesting an informal review are also included in the toolkit available at the PQRS website.

Individual EPs and PQRS group practices that participated in GPRO may access their 2014 Quality and Resource Use Reports (QRURs) from the CMS Enterprise Portal. To access QRURs, an Enterprise Identity Management (EIDM) account is required. See the Quick Reference and User Guides for assistance.

Please note that the PQRS payment adjustment is separate from any additional adjustment that may be applied to individual EPs who are physicians under the Medicare Electronic Health Record (EHR) Incentive Program, and the Physician Value-Based Payment Modifier (Value Modifier) program in 2016. Individual EPs and PQRS group practices, as identified by their TIN, can access the TIN’s 2014 Annual Quality and Resource Use Report (QRUR) on the CMS Enterprise Portal at https://portal.cms.gov to determine whether the TIN will be subject to an upward, neutral, or downward adjustment under the Value Modifier in 2016. To access a QRUR, an Enterprise Identity Management (EIDM) account with the correct role is required. See the How to Obtain a QRUR Page for instructions on how to set up an EIDM account and access the QRURs. Information about the QRURs is available on the 2014 QRUR website.

Additional Resources

For details regarding the 2016 PQRS payment adjustment, please see the Payment Adjustment Information page of the PQRS website and click on the payment adjustment toolkit.

For information regarding other Medicare physician quality programs that apply payment adjustments, please see the Value-Based Payment Modifier website and/or the EHR Incentive Program website.

For additional questions, please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or via qnetsupport@hcqis.org. They are available from 7:00 a.m. to 7:00 p.m. Central Time Monday through Friday.


2016 Physician Quality Reporting System (PQRS) Negative Payment Adjustment and the Informal Review Process

In 2016, CMS will apply a negative payment adjustment to individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, and group practices participating in the Physician Quality Reporting System (PQRS) group practice reporting option (GPRO) (including Accountable Care Organizations [ACOs]) that did not satisfactorily report PQRS in 2014. Individuals and groups that receive the 2016 negative payment adjustment will not receive a 2014 PQRS incentive payment.

EPs, CPC practice sites, PQRS group practices, and ACOs that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment may submit an informal review between September 9, 2015 and November 9, 2015 requesting CMS investigate incentive eligibility and/or payment adjustment determination. All informal review requestors will be contacted via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review or appeal.

All informal review requests must be submitted electronically via the Quality Reporting Communication Support Page (CSP) which will be available September 9, 2015 through November 9, 2015 under the Related Links section of the Physician and Other Health Care Professionals Quality Reporting Portal.

Please see How to Request an Informal Review of 2014 PQRS Incentive Eligibility and 2016 PQRS Negative Payment Adjustment (available soon on the Analysis and Payment section of the PQRS website) for more information.

For additional questions regarding the informal review process, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or Qnetsupport@hcqis.org Monday-Friday from 7:00 a.m. to 7:00 p.m. Central Time. To avoid security violations, do not include personal identifying information, such as Social Security Number or Taxpayer Identification Number (TIN), in e-mail inquiries to the QualityNet Help Desk.


PV-PQRS Users: Set up Your EIDM Account

CMS transitioned Individuals Authorized Access to CMS Computer Services (IACS) accounts to the Enterprise Identity Management System (EIDM). As of July 13, 2015, an IACS account can no longer be used to access a group or solo practitioner’s Quality and Resource Use Reports (QRURs); instead, an EIDM account will be required to access QRURs at https://portal.cms.gov. Additional information on accessing QRURs is available on the CMS website HERE.


2014 CMS Physician Payment Final Rules

On October 31, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2015. The final rule includes policies for implementing the Value-based Payment Modifier (Value Modifier) in the Affordable Care Act that would adjust payments to physicians, groups of physicians, and other eligible professionals based on the quality and cost of care they furnish to beneficiaries enrolled in the traditional Medicare Fee-for-Service (FFS) program. Under the Value Modifier Program, performance on quality and cost measures can translate into payment incentives for providers who provide high quality, efficient care, while providers who underperform may be subject to a downward adjustment.1 The rule also finalizes changes to several of the quality reporting initiatives that are associated with PFS payments, including the Physician Quality Reporting System (PQRS), Medicare Electronic Health Record (EHR) Incentive Program, and the Medicare Shared Savings Program, as well as changes to the Physician Compare website on Medicare.gov.2

The following sections provide broad highlights of the various quality programs and important changes that are in effect as of January 1, 2015. Updates and announcements will be posted as appropriate.

PLEASE NOTE! Per the 2012 Medicare Physician Fee Schedule Final Rule, performance data from the calendar year 2013 will be utilized to calculate 2015 program payment adjustments, or penalties.

Physicians who chose not to participate in any quality reporting or did not meet required performance levels will receive a -1.5% payment adjustment in 2015 and a -2% adjustment in subsequent years.

1 http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-10-31-5.html

2 http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-10-31-6.html

DISCLAIMER

The Spine Intervention Society provides this information for educational purposes only and always recommends that providers consult the CMS Web site for additional information. It is each provider's responsibility to know and to understand the requirements and consequences of each reporting program in which he or she participates.

 


 

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