Practice Quiz

Managed Care Nursing

Category - Healthcare Economics

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Which options identify actions that would indicate a healthcare organization or provider is not participating in the value-based healthcare payment model?
  1. Engaged in participation of PQRS in 2015 and satisfied reporting requirements
  2. Forwent participation in PQRS and percentage reduction incurred
  3. Hired CMCN staff for development and management of patients with chronic disease
  4. None of the above
Explanation
Answer: B-An organization or provider who has forgone participation in PQRS is not participating in the value-based healthcare payment model, as this was a requirement. CMS indicates that if there was not participation by 2015 an automatic percentage reduction will incur.
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