The document discusses Physician Quality Reporting Systems (PQRS) for anesthesia claims. It provides a brief history of PQRS, starting in 2006 as a voluntary program and evolving into the current PQRS system. It notes that incentives for reporting PQRS data are decreasing over time, with the final incentive year being 2014 at 0.5% and penalties being implemented starting in 2015 at 1.5% and increasing to 2% in 2016 based on 2014 reporting period data. Resources from Anesthesia Quality Institute are provided to help understand PQRS payment incentives and adjustments.