Clinical Alert Re: Medicare PQRS Immediate Attention Needed

Medicare PQRS Negative Payment Adjustment

Mirean Coleman, LICSW, CT Clinical Manager
December 2016

It has been brought to NASW’s attention that clinical social workers who are Medicare providers may have inappropriately received notice of a two percent negative payment adjustment in 2017 for not using 9 measures when reporting Physician Quality Reporting System (PQRS) measures in 2015.

As you may be aware, clinical social workers did not have 9 PQRS measures to report in 2015. NASW is working with the Centers for Medicare and Medicaid Services (CMS) to address and Reconsider the negative payment adjustment where appropriate.

If you have been subjected to this negative payment adjustment due to lack of reporting 9 Measures, please send your name and National Provider Identification (NPI) number by December 19, 2016 to PQRSPenalty@naswdc.org.

Your information will be submitted to CMS for reassessment and reconsideration of the negative payment adjustment for 2017. Additional information is available at: http://www.socialworkers.org/includes/newIncludes/homepage/NEGATIVE%20PQRS%20PAYMENT%20ADJUSTMENT%20FOR%202017.pdf

Mirean Coleman, MSW, LICSW, CT
Clinical Manager
202-336-8265
mcoleman.nasw@socialworkers.org
National Association of Social Workers
750 First Street, NE, Suite 800
Washington, DC 20002