Providers should not rely on the Medicare validation process to protect themselves from the quality reporting pay cut they would incur for not meeting all four reporting requirements. Before the two percent reduction applied to a provider who used claims-based reporting and missed one or more of the quality reporting measures, a measures applicability validation (MAV) will be performed by Medicare.
The MAV will check all of the Medicare claims submitted by that provider in 2015 to see whether they reported the required number of measures. If not, that provider will not incur the two percent reduction in 2017.
To avoid MAV, providers must successfully meet all four of the quality reporting requirements:
- Report each measure for at least fifty percent of eligible patients
- Report nine or more measures
- Report measures that cover at least three national quality strategy domains
- Report at least one cross-cutting measure if the provider has one or more face-to-face Medicare patient encounter