CMS Reporting

Oncologists who don't participate in the reporting programs of the Centers for Medicare and Medicaid Services (CMS)—specifically, the Physician Quality Reporting System (PQRS) and the Electronic Health Records (EHR) Incentive Program—run the risk of reductions in Medicare reimbursements on Part B physician fee schedule (PFS) services. See below for information on the phase-out of financial incentives and commencement of financial reductions to Medicare reimbursements.

A printable version of the CMS reporting deadlines for 2014 is available.

Physician Quality Reporting System

Provides incentives for reporting quality measures through 2014; negative payment adjustments start in 2015, based on 2013 PQRS reporting. View more on PQRS

Deadlines for 20142014 Payment AdjustmentsDeadlines for 20152015 Payment Adjustments
Sept. 30: Last day for groups to register to participate in the GPRO for the 2014 PQRS program

Nov. 1: E.P.s who participated in PQRS 2013 can request an informal review of their results

Dec 31: Reporting for the 2014 PQRS program year ends for group practices and individuals.
Individual EPs who meet the criteria for satisfactory submission of PQRS quality measures data via one of the reporting mechanisms above for services furnished during the 2014 reporting period will qualify to earn an incentive payment of .5% of their total estimated Medicare Part B PFS allowed charges.

EPs who do not satisfactorily report data on quality measures in 2014 will be subject to a -2% payment adjustment in for professional services provided in 2016.
Jan 1: Reporting for the 2015 PQRS program begins for individual and group practices.

Feb 27: Last day for Maintenance of Certification Programs to submit 2014 data. Last day 2014 claims will be processed.

Feb 28: Last day to submit CQMs for dual participation in PQRS and the E.H.R Incentive Program

Dec 31st: Reporting for the 2015 PQRS Program Year Ends
Eligible professionals who did not satisfactorily report data on quality measures in 2013 for covered professional services will be subject to a -1.5% payment adjustment in 2015.

Electronic Prescribing Incentive Program

Provides incentive to practices that successfully e-prescribe. There are payment penalities for eligible professionals who are not successful electronic prescribers. View more on EPIP

Deadlines for 20142014 Payment AdjustmentsDeadlines for 20152015 Payment Adjustments


Individual eligible professionals and group practices participating in the eRx Group Practice Reporting Option (GPRO) who were not successful electronic prescribers will be subject to a 2.0% payment adjustment on their Medicare Part B services provided January 1, 2014 through December 31, 2014.

Last year to incur an eRx payment adjustment. Electronic Prescribing continues with Meaningful Use.

EHR Incentive Program

Provides incentives to providers that demonstrate "meaningful use" of EHR technology over three program stages. Payment reductions begin in 2015 for eligible professionals who do not participate. View more on EHR Incentive Program

Deadlines for 20142014 Payment AdjustmentsDeadlines for 20152015 Payment Adjustments
Dec 31: End of the 2014 reporting period for eligible professionals.


To Be DeterminedEP who does not successfully demonstrate meaningful use of certified EHR technology use will be subject to reduced physician fee schedule payments.

Value Based Modifier Program

Assesses both quality of care furnished and the cost of that care under the Medicare Physician Fee Schedule. View more on Value Based Modifier Program

Deadlines for 20142014 Payment AdjustmentsDeadlines for 20152015 Payment Adjustments
Summer 2014: Quality Resources and Use Reports (QRURs) will be available for all groups and solo practitioners

Fall 2014:CMS will disseminate Physician Feedback reports containing CY 2013 data to groups of physicians subject to the Value Modifier.

Performance on quality and cost measures in CY 2014 will be used to calculate the Value Modifier that is applied to items and services for payment in CY 2016.



To Be DeterminedPhysicians in groups of 100 or more eligible professionals who submit claims to Medicare under a single tax identification number will be subject to the value modifier in 2015, based on their performance in calendar year 2013.