2016 QRURs, PQRS Reports Ready to Review

Learn From Your Data, Check for Errors

September 26, 2017 04:18 pm News Staff

On Sept. 18, CMS released individual and group practice feedback reports for the 2016 Physician Quality Reporting System (PQRS) and the 2016 annual Quality and Resource Use Reports (QRURs).

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Physicians can gain access to their reports through the CMS Enterprise Portal.(portal.cms.gov) Learn more about how to access the portal in a Sept. 20 post on Family Practice Management's Getting Paid blog titled "What's your Medicare quality report score? Find out here."

Why should physicians care enough to spend time reviewing their reports? Doing so will let them know if they will be subject to the 2018 PQRS downward payment adjustment and will inform practices of their 2018 value-based payment modifier adjustments.  

Importantly, if physicians perceive that their payment adjustment status reflects an error, they can request an informal review of their 2016 PQRS results and/or the 2018 value-based payment modifier calculation.

The informal review period is currently open and available to physicians until Dec. 1 at 8 p.m. EDT. CMS offers information about the informal review process on the agency's PQRS Analysis and Payment web page,(www.cms.gov) and its 2016 QRUR and 2018 Value Modifier web page.(www.cms.gov)

Physicians should also consider the information contained in their reports as a guide that will help them prepare for participation in the Merit-based Incentive Payment Program -- one of two paths available to physicians under the new Quality Payment Program (QPP).

The first QPP performance period started on Jan. 1, 2017, and runs through Dec. 31, 2017; the first QPP payment adjustment year will be 2019.

Have unanswered questions? Contact the QualityNet Health Desk at (866) 288-8912 from 7 a.m. to 7 p.m. CDT, Monday through Friday or email questions to qnetsupport@hcqis.org.