AAOS Report - May, 2006

PVRP program now underway

The Physician Voluntary Reporting Program (PVRP) is the first step in moving physicians toward a value-based purchasing system (pay-for-performance or P4P) under the Medicare program. The Centers for Medicare and Medicaid Services (CMS) designed the PVRP as a tool to begin encouraging physicians to report on a core starter set of 16 measures, and will make confidential feedback reports to physicians on their reporting rate and their performance rate for each of the measures they report on.

Codes in the starter set applicable to orthopaedic surgery and office-based orthopaedic care include: 1) antibiotic prophylaxis in surgical patients, 2) thromboembolism prophylaxis in surgical patients and 3) assessment of elderly patients for falls.

To receive feedback, physicians must register their intent to participate online. Registering does not obligate a physician to participate. The AAOS is opposed to mandatory pay-for-performance unless the flawed Medicare Sustainable Growth Rate payment formula for physicians is fixed. For more information, visit the PVRP Web site or e-mail Kathryn Pontzer in the AAOS Washington Office.

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