2017 Payment Penalties: Know What to Expect

File for an Informal Data Review by November 30


Last month, CMS announced that physicians can consult to determine whether they will be subject to 2017 payment penalties that stem from policies in effect prior to the enactment of MACRA. Practices that have concerns about the findings in their reports are urged to file for an informal review of both PQRS and Value Modifier data by November 30.

Physician Quality Reporting System (PQRS) Penalties:

Value Modifier Penalties:

Those who have questions, even if they are uncertain about penalty status, are urged to submit a request for informal review.  Although in most cases a successful PQRS review will trigger an automatic review of related VM penalties, program officials say the safest course is to file requests for review of both PQRS and VM data.