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2016 Value-Based Payment Modifier Downward Payment Adjustment Avoidance Action for Groups with 10 or More Eligible Professionals

Thursday, September 11, 2014

The Centers for Medicare & Medicaid Services (CMS) have issued a notification to physicians in groups with 10 or more eligible professionals (EPs) on how to avoid the automatic calendar year 2016 value-based payment modifier downward payment adjustment. EPs consist of physicians, practitioners, physical or occupational therapists, qualified speech-language pathologists, and qualified audiologists. A group of physicians is defined by its Medicare-enrolled Taxpayer Identification Number (TIN). The deadline for the actions specified in the CMS memo is September 30, 2014.