1 Average monthly temperatures vary by 6.45 Â°C (11.6Â°F). 2  This indicates that the continentality type is hyperoceanic, subtype truly hyperoceanic. 3  Total annual Precipitation averages 6.4 mm (0.3 inches) which is equivalent to 6.4 Litres/m (0.16 Gallons/ft).4  On average there are 1474 hours of sunshine per year. Lima, Peru is at 12 1'S, 77 6'W, 13 m (43 ft). 2  See map. 3  Lima has a subtropical desert / low-latitude arid hot climate (K ppen-Geiger classification: BWh). 4  The average temperature is 19.7 degrees Celsius (67.5 degrees Fahrenheit).
The Centers for Medicare and Medicaid Services (CMS) designed the PQRS to improve the quality of care for Medicare beneficiaries by tracking practice patterns. Since 2007, quality reporting has been voluntary for services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries. The ACA made participation in Medicare's PQRS program mandatory beginning in 2015.
In 2014, the PQRS penalties applied 2 years out, that is 2016, and impose a 2% physician payment reduction. Additionally, PQRS will be used for the VBPM.â.