On September 26, 2016, CMS announced the availability of 2015 Physician Quality Reporting System (PQRS) Feedback Reports and 2015 Annual Quality and Resource Use Reports (QRURs). NextGen Healthcare encourages clients to access these reports as soon as possible in order to assess performance on cost and quality measures.
The data comprising these 2015 reports will determine payment adjustments in 2017. PQRS Feedback Reports show your PQRS performance in 2015, while Annual QRURs show how you performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier and its associated payment adjustment.
In addition to helping you determine whether you are subject to 2017 payment adjustments, these reports contain important information that can be used to help you prepare for success under the upcoming MIPS Quality Payment program.
CMS Instructions on How to Access the Reports:
- EIDM Account. An Enterprise Identity Management (EIDM) account with the appropriate role is required for participants to obtain 2015 PQRS Feedback Reports and 2015 Annual QRURs.
- If you already have an EIDM account, then follow the instructions provided here to sign up for the appropriate role in EIDM.
- To find out if there is already someone who can access your PQRS Feedback Report and QRUR, contact the QualityNet Help Desk.
- To sign up for an EIDM account, visit the CMS Enterprise Portal and click “New User Registration” under “Login to CMS Secure Portal.” Instructions for signing up for an EIDM account are provided here.
- Both reports can be accessed on the CMS Enterprise Portal using the same EIDM account.
If you believe you were assessed a negative payment adjustment in error, you should request an Informal Review:
- See the CMS “2015 Physician Quality Reporting System (PQRS): 2017 Negative Payment Adjustment – Informal Review Made Simple” guide on the PQRS Analysis and Payment webpage.
- See the CMS 2015 QRUR and 2017 Value Modifier webpage for information about the 2015 Annual QRURs and how to request an informal review.
- Informal Review period is September 26, 2016 through November 30, 2016 11:59 pm Eastern Time.
Additional Information on PQRS Feedback Reports or QRURs:
- CMS: “User Guide: 2015 Physician Quality Reporting System (PQRS) Feedback Reports” on the PQRS Analysis and Payment webpage.
- CMS How to Obtain a QRUR webpage
- QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715- 6222) available from 7:00 a.m. to 7:00 p.m. Central Time, Monday through Friday, or via email at qnetsupport@hcqis.org.
- For additional assistance regarding the QRUR or the Value Modifier, or if you are having trouble accessing the PQRS Feedback Reports, contact the Physician Value Help Desk at pvhelpdesk@cms.hhs.gov or 888-734-6433 (select option 3).