AGA Quality Improvement Timeline

Timeline of Impact on Physician Reimbursement

There are a number of federal quality improvement programs that will affect physician reimbursement beginning in 2014. To help you meet these federal requirements, the AGA has developed a timeline to help you prepare and successfully implement the required changes. We will continue to update this timeline as new programs and deadlines arise.

Watch a webinar to learn more about the physician quality reporting system, the value-based payment modifier and the electronic health record incentive program, including how to participate in each program. View the slide presentation.

  • All Programs
  • Current Procedural Terminology
  • AMA/Specialty Society Relative Value Update Committee
  • ICD-10 Diagnosis Codes
  • Meaningful Use
  • Physician Quality Reporting System
  • Value-Based Payment Modifier
January - March 2014

Stage 1 Meaningful Use

Start Date
January 1, 2011
Deadline Expired
January 1, 2014

Focuses on data capture and sharing.

Meaningful Use

CPT Code Manual

Start Date
January 1, 2014
Deadline Expired
January 1, 2014

The 2014 CPT code manual takes effect. Early release Category II codes are published on the AMA's website with implementation in six months.

Current Procedural Terminology

New Category II CPT codes released on the AMA’s website.

Start Date
July 1, 2014
Deadline Expired
January 1, 2014

New Category II CPT codes released on the AMA’s website. Early release Category III codes are published on the AMA’s website with implementation in six months.

Current Procedural Terminology

Antegrade Enteroscopy Survey

Start Date
February 7, 2014
Deadline Expired
February 28, 2014

Antegrade Enteroscopy Survey fielded. RUC interprets findings of colonoscopy surveys fielded in 2013.

AMA/Specialty Society Relative Value Update Committee

Submit claims-based reporting for 2013 PQRS

Start Date
February 28, 2014
Deadline Expired
February 28, 2014

Deadline to submit claims-based reporting for the 2013 PQRS reporting period.

Physician Quality Reporting System Value-Based Payment Modifier

CMS sends QRURs (Groups of 25+)

Start Date
February 28, 2014
Deadline Expired
February 28, 2014

CMS sends Quality Use and Resource Reports (QRURs) to all groups of 25+, based on 2012 data. These reports will help practices to preview value-modifier quality and cost composites.

Value-Based Payment Modifier

Submit registry-based reporting for 2013 PQRS via AGA DHRP

Start Date
March 13, 2014
Deadline Expired
March 13, 2014

Deadline to submit registry-based reporting via AGA Digestive Health Recognition Program (DHRP) is 5 p.m. ET.

Physician Quality Reporting System Value-Based Payment Modifier

Participate in PQRS to avoid penalties

Start Date
March 1, 2014
Deadline Expired
September 30, 2014

Participate in PQRS from spring 2014 through Sept. 30, 2014, to avoid penalties in 2016. If you are a group of 10+, self-nominate to participate in PQRS as a group OR ensure that at least 50 percent of providers report measures individually.

Value-Based Payment Modifier

EPs beyond their first year must attest to meaningful use

Start Date
February 28, 2014
Ongoing
February 28, 2015

EPs beyond their first year of meaningful use must attest to a 3-month reporting period fixed to the quarter of the calendar year to avoid 2015 and 2016 penalties.

Meaningful Use

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use

April - June 2014

New Category II CPT codes released on the AMA’s website.

Start Date
July 1, 2014
Deadline Expired
January 1, 2014

New Category II CPT codes released on the AMA’s website. Early release Category III codes are published on the AMA’s website with implementation in six months.

Current Procedural Terminology

Participate in PQRS to avoid penalties

Start Date
March 1, 2014
Deadline Expired
September 30, 2014

Participate in PQRS from spring 2014 through Sept. 30, 2014, to avoid penalties in 2016. If you are a group of 10+, self-nominate to participate in PQRS as a group OR ensure that at least 50 percent of providers report measures individually.

Value-Based Payment Modifier

EPs beyond their first year must attest to meaningful use

Start Date
February 28, 2014
Ongoing
February 28, 2015

EPs beyond their first year of meaningful use must attest to a 3-month reporting period fixed to the quarter of the calendar year to avoid 2015 and 2016 penalties.

Meaningful Use

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use

July - September 2014

Participate in PQRS to avoid penalties

Start Date
March 1, 2014
Deadline Expired
September 30, 2014

Participate in PQRS from spring 2014 through Sept. 30, 2014, to avoid penalties in 2016. If you are a group of 10+, self-nominate to participate in PQRS as a group OR ensure that at least 50 percent of providers report measures individually.

Value-Based Payment Modifier

EPs beyond their first year must attest to meaningful use

Start Date
February 28, 2014
Ongoing
February 28, 2015

EPs beyond their first year of meaningful use must attest to a 3-month reporting period fixed to the quarter of the calendar year to avoid 2015 and 2016 penalties.

Meaningful Use

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use

October - December 2014

New Edition of the CPT Manual is Released by the AMA

Start Date
October 1, 2014
Deadline Expired
October 1, 2014

New edition of the CPT manual is released by the AMA. Early release Category II codes are published on the AMA's website with implementation in three months.

Current Procedural Terminology

New eligible professionals must attest to meaningful use

Start Date
October 1, 2014
Deadline Expired
October 1, 2014

New eligible professionals must attest to a 90-day period of meaningful use in 2014 to avoid 2015 and 2016 penalties.

Meaningful Use

New editions of CPT are released by the AMA

Start Date
October 1, 2014
Deadline Expired
October 31, 2014

New editions of CPT are released by the AMA.

Current Procedural Terminology

CMS Releases 2015 Medicare Physician Fee Schedule Final Rule

Start Date
November 1, 2014
Deadline Expired
November 1, 2014

CMS releases the Medicare Physician Fee Schedule Final Rule, which contains new payment rates for 2015, including colonoscopy.

AMA/Specialty Society Relative Value Update Committee

EPs beyond their first year must attest to meaningful use

Start Date
February 28, 2014
Ongoing
February 28, 2015

EPs beyond their first year of meaningful use must attest to a 3-month reporting period fixed to the quarter of the calendar year to avoid 2015 and 2016 penalties.

Meaningful Use

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use