PQRS MOC Incentive

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About the PQRS MOC Incentive
  • The ABS has been approved by CMS for the 2014 Physician Quality Reporting System (PQRS) MOC Incentive. This is the last year the incentive will be available.
  • Surgeons participating in PQRS can earn an additional 0.5% on their Medicare Part B allowed charges by also participating in the ABS MOC Program "more frequently" than what is required by the ABS. You must also be participating in a patient survey program.
  • Surgeons are automatically enrolled in the ABS MOC Program upon certification or recertification after July 2005. Surgeons not yet enrolled in MOC would need to pass an ABS MOC (recertification) exam in 2014 to be eligible. You can only receive one MOC incentive payment, even if you are certified by more than one ABMS board.
  • Submission deadline is Dec. 31, 2014 at 5 p.m. ET. Even if you have not yet completed your 2014 PQRS reporting, you can still submit for the MOC incentive.

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Requirements
  • CMS has established the following requirements for the 2014 PQRS MOC Incentive:
  • 1) Participate in 2014 PQRS reporting by satisfactorily submitting data on quality measures for a 12-month period (Jan. 1-Dec. 31, 2014)
  • This can be done as an individual physician or as part of a group practice (including ACOs). Individuals may use one of these approved PQRS reporting options:
    - Medicare Part B claims
    - Qualified PQRS registry
    - Qualified electronic health record (EHR) product
    - Qualified PQRS data submission vendor
    - Qualified Clinical Data Registry (QCDR)
  • The ABS is not directly involved with PQRS reporting. For help, please see the PQRS website or contact CMS at 1-866-288-8912 or via e-mail.
  • Approved Registries: The ACS Surgeon Specific Registry (Case Log System) and MBSAQIP registry have been approved for PQRS reporting. Other approved registries include the STS National Database, Mastery of Breast Surgery, and Vascular Quality Initiative®.
  • 2) Be enrolled and in compliance with the ABS MOC Program (check MOC status using Is Your Surgeon Certified? - must be "Meeting MOC Requirements")
  • 3) Participate in MOC "more frequently" in 2014 than is required to maintain certification. For ABS diplomates, this means you must fulfill ONE of the options below:
    • MOC Part 2 Option (CME): Complete 30 Category I CME credits relevant to your practice in the 2014 calendar year, with at least 20 credits including self-assessment (written or electronic question-and-answer exercise that assesses your understanding of the material). A score of 75% or higher must be achieved on self-assessment activities.
  •   OR
    • MOC Part 3 Option (Exam): Pass an ABS MOC (recertification) examination earlier than needed, i.e., prior to the final opportunity to take the exam before your certificate expires. Diplomates may first take an MOC exam three years before their certificate's expiration.
  •   OR
    • MOC Part 4 Option (Practice Assessment): Participate in more than one local, regional or national outcomes registry or quality improvement program (either individually or through your practice/institution) during the 2014 calendar year. This includes programs like SCIP, the ACS Surgeon Specific Registry (Case Log), ACS NSQIP®, NTDB and NCDB. See below for more on Part 4.
  • 4) In addition, CMS requires ALL participants to complete the following:
  • MOC Part 4 (Practice Assessment): Participate in at least one local, regional or national outcomes registry or quality improvement program (either individually or through your practice/institution) in the 2014 calendar year. See our MOC Part 4 page for more information and some acceptable programs.
  • Patient Survey: Participate in a patient survey program (either individually or through your practice/institution), such as HCAHPS®, Press Ganey, etc. There is no minimum number of surveys required. If you do not have access to a survey, the CAHPS Surgical Care Survey is available for free from the ACS.

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How to Submit Your Information
  • The submission process is done entirely online—no paper documentation is needed. You will complete an online form attesting that you have met or will meet the requirements above. You do not need to wait until you have completed your PQRS reporting to apply for the incentive.
  • To submit your information, go to the ABMS MOC Matters website. The submission deadline is Dec. 31, 2014 at 5 p.m. ET. Below are brief instructions on submitting your information. For more detail, see our Step-by-Step Submission Guide (pdf).
  • 1) Once on the MOC Matters website, click on "American Board of Surgery" (lower right). Review the next page and then click "Continue" (lower right).
  • 2) On the following screens, you will be offered three services:
    - The MOC:PQRS Attestation (for submission of your MOC information to CMS)
    - Registry for PQRS reporting (if you do not have a way to report otherwise)
    - Patient survey function (if you do not have access to one otherwise)
  • You can purchase these services as a group or individually. If you are already participating in PQRS and in a patient survey program, you will only need the MOC:PQRS Attestation ($30 fee). The fees charged go to the website service provider, not the ABS or ABMS.
  • NOTE: If you plan to use more than just the attestation, the attestation form is the LAST STEP in this process.
  • 3) If you are new to this website, you will be prompted to register to complete the process. When registering, you will be asked for your ABS "Member ID"—this is your ABS candidate ID number included on all ABS correspondence. It is also always listed in the top right of the ABS website by your name when you log in. You will also need to enter your individual NPI number.
  • 4) To complete the MOC:PQRS Attestation form, you will attest to:
    - participating in PQRS reporting
    - participating in the ABS MOC Program
    - participating in ABS MOC "more frequently" (as described above)
    - completing (i.e., participating in) a Part 4 – practice assessment program
    - participating in a patient experience of care survey program

    all within the 2014 calendar year.
  • NOTE: The attestation form will ask which year you are in of your "MOC cycle"—for purposes of this form, this means which year in the 10-year certification cycle. Check your MOC Timeline if you are unsure.
  • 5) Once the attestation form is submitted, you have completed the submission process for the 2014 PQRS MOC Incentive.

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After Your Information is Submitted
The vendor will verify with ABS that you are currently certified and in compliance with the ABS MOC Program. Your data will then be sent to CMS. If your PQRS reporting and MOC incentive information are approved by CMS, the MOC incentive payment will be included with your 2014 PQRS reporting payment. Historically CMS has sent these payments in the third quarter of the following year.

Please contact the ABS office via e-mail with any questions.

Updated: October 2014

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