If you didn’t report 2014 PQRS measures you are already seeing a 2% reduction of reimbursement from Medicare. Providers had until March 31st to report via registry for 2015 activity to avoid a penalty in 2017. In addition to PQRS, providers should be concerned about the Value-Based Payment Modifier (VBM) established by the Affordable Care Act. The modifier builds on PQRS in providing a differential payment based on the quality of care furnished to beneficiaries compared to