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Value-Based Payment Modifier: What Medicare Eligible Professionals Need to Know in 2014 6/6/14

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Published on Jun 6, 2014

PLEASE READ BEFORE VIEWING THIS VIDEO: CMS offers continuing education credit for viewing this video, however, you will not receive credit for viewing the video on YouTube. If you would like to receive continuing education credit for viewing this video you must go to the CMS MLN learning management system https://cms.meridianksi.com/kc/login/..., sign into the web-based training course entitled “The CMS Value-Based Payment Modifier: What Medicare Eligible Professionals Need to Know in 2014”, complete the pre-assessment, view the video program, and successfully complete the post-assessment and the course evaluation. You will be able to print a certificate of completion or a certificate for CME or CEUs after completing these steps. If you only want to view the video and not receive continuing education credit, proceed to view the video here on YouTube. For questions related to continuing education credit for viewing this video, please send an email to CMSCE@cms.hhs.gov.


This MLN Connects™ video presentation provides an overview of the value-based payment modifier, and how it relates to the physician quality reporting system, or PQRS program, so that all Medicare physicians will understand how the value modifier can effect Medicare reimbursement starting in 2015.
This presentation educates healthcare professionals on a variety of topics that are essential to the value-based payment modifier, including:

• An overview of the value modifier
• Distinction between Medicare physicians and eligible professionals in terms of who will actually be accessed the value modifier, and who is included in determining group size
• Relation to other quality program incentives and payment adjustments, mainly PQRS and Meaningful Use
• The 50 percent threshold option for groups who choose to have their EPs participate as individuals
• Quality and cost measures that are used in calculating the value modifier
• Quality tiering, mandatory in 2014
• Accessing your QRUR report so you can see how you performed in your reporting.

This presentation also walks through a very detailed decision tree that has been created to help providers ask the necessary questions on determining how the value modifier in 2016 will be affected by their PQRS participation this year.

Video transcript http://www.cms.gov/Outreach-and-Educa...




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