Proposed changes to Medicare's Physician Quality Reporting System do little to encourage physician practices that outsource their billing to start participating in the incentive-for-quality-reporting program, according to the Healthcare Billing and Management Association.

In comments to the Centers for Medicare and Medicaid Services on the proposed Medicare Physician Fee Schedule rule published in July, the association noted that only a small percentage of practices that outsource billing participate, largely for financial reasons. "Specifically, the bonus payments are less than the additional cost of submitting the data, even when the billing company imposes no additional fee for providing their support of PQRS participation," according to HBMA.

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