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Physician anesthesiologists and other providers who believe they have received an incorrect assessment under the Value Modifier program now have through December 16, 2015 to request an informal review from the Centers for Medicare and Medicaid Services (CMS). In 2016, groups with 10 or more eligible professionals (EPs) who did not satisfactorily report PQRS in 2014 may be subject to the 2016 Value Modifier penalty. All informal review requests must be submitted by 11:59 p.m. Eastern Time on December 16, 2015.
The informal review process allows groups (as identified by their taxpayer identification number) with ten or more eligible professionals that are subject to the 2016 Value Modifier to request a correction of a perceived error in their Value Modifier calculations. 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 [email protected] or 888-734-6433 (select option 3).
For basic information on PQRS and the Value Modifier, please visit the ASA website.
For additional information, please contact the ASA Department of Quality and Regulatory Affairs (QRA) at [email protected] or 202-289-2222.
