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 2015

Adopt and Demonstrate Meaningful Use

Start Date
January 1, 2015
Deadline Expired
January 1, 2015

Deadline to adopt and demonstrate meaningful use of a certified electronic health record or incur an annual 1 percent decrease in Medicare payments.

Meaningful Use

2015 PQRS payment is adjusted based on VBPM

Start Date
January 1, 2015
Deadline Expired
January 1, 2015

Payment is adjusted based on the value-based payment modifier (VBPM) for physicians in groups of 100+ (based on performance in 2013).

Value-Based Payment Modifier Physician Quality Reporting System

Submit claims-based reporting for the 2014 PQRS

Start Date
February 2, 2015
Deadline Approaching
February 27, 2015

Estimated deadline to submit claims-based reporting for the 2014 PQRS reporting period.

Physician Quality Reporting System Value-Based Payment Modifier

EPs beyond their first year must attest to meaningful use

Start Date
February 28, 2014
Deadline Approaching
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

Submit registry-based reporting for 2014 PQRS via AGA DHRP

Start Date
March 1, 2015
Deadline Approaching
March 31, 2015

Estimated deadline to submit registry-based reporting via AGA Digestive Health Recognition Program (DHRP).

Physician Quality Reporting System Value-Based Payment Modifier

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use

April - June 2015

CMS report to Congress on the Sunshine Rule

Start Date
April 1, 2015
Future Deadline
April 1, 2015

CMS report due to Congress regarding the first data reporting requirement.

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use

July - September 2015

CMS sends QRURs to all physicians

Start Date
August 1, 2015
Future Deadline
August 31, 2015

CMS sends Quality Use and Resource Reports (QRURs) to all physician groups and solo practitioners.

Value-Based Payment Modifier

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use

October - December 2015

ICD-9 codes no longer accepted to report medical diagnoses and inpatient procedures.

Start Date
October 1, 2015
Future Deadline
October 1, 2015

If the transition is not complete by next fall, payors will withhold payments.

ICD-10 Diagnosis Codes

Stage 2 Meaningful Use

Start Date
January 1, 2013
Ongoing
January 1, 2016

Focuses on advanced clinical processes.

Meaningful Use