Physician Quality Measures

 


Quality measures developed by the CAP have allowed pathologists to earn reimbursement incentives from Medicare payers under programs like the Physician Quality Reporting System (PQRS). Today, pathologists can continue to report using the CAP’s measures to avoid penalties and be eligible for bonuses. Learn more about Pathology Quality Measures.

Advocating for Pathologists Participation in new Payment Models

We engage with Medicare officials to mitigate the negative effects of new and evolving reporting requirements for laboratories, such as those triggered by reforms under the Medicare Access and CHIP Reauthorization Act (MACRA). New Medicare reforms tie physician payments to quality measures and activities in the new Merit-Based Incentive Payment System (MIPS). After 2018, the Medicare program will retire the current Medicare EHR Incentive Program for eligible professionals, the PQRS, and the value-based modifier (VM) programs. However, components of these three programs will be carried forward into MIPS. Beginning in 2019, the CMS will apply a positive, negative, or neutral payment adjustment, based upon 2017 data, in a budget-neutral manner, to each MIPS-eligible clinician based on a composite performance score across four performance categories:

  • Quality (formerly PQRS)
  • Cost/Resource use (replaces VM)
  • Clinical practice improvement activities
  • Advancing care information (Meaningful use of a certified EHR)

Pathologists Quality Registry

The Pathologists Quality Registry improves practice performance by benchmarking against other pathology practices and makes it easier to qualify for bonuses under Medicare's Quality Payment Program (QPP) Merit-based Incentive Payment System (MIPS) track. This registry, developed by the CAP, will be the first pathologist-specific registry and powered by FIGmd, a leading provider of clinical data registries.

The Pathologists Quality Registry will be available to pathologists for use in collecting medical and/or clinical data to foster improvement in the quality of care provided to patients in addition to MIPS reporting. Designed specifically for the practice of pathology, the registry will ensure pathologists have a mechanism for quality improvement against the CAP’s established standards, optimal opportunity for positive payment adjustments under MIPS, and compliance with requirements under the Medicare QPP program.