Is Your Practice Making Progress With CMS Quality Initiatives?

Individual PQRS Dashboard Reports, QRURs Available for Review

October 15, 2014 09:22 am News Staff

As family physicians led their practices into the fourth quarter of 2014, CMS announced the release of reports important to those in the business of providing excellent care to patients while successfully navigating government quality programs.

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Specifically, CMS made 2013 quality and resource use reports( (QRURs) available to practices, as well as releasing second-quarter interim feedback dashboard reports for the 2014 Physician Quality Reporting System (PQRS)(

Physicians are encouraged to use the agency's 2014 Interim Feedback Dashboard User Guide( to help them access and interpret their 2014 PQRS interim dashboard data.

The dashboard reports are intended to give physicians an opportunity to monitor -- on a quarterly basis -- the status of their PQRS claims-based individual measures reporting. The newly released reports are available to physicians and other eligible professionals who submitted data via claims between Jan. 1 and June 30, 2014.

According to CMS, the second-quarter reports do not give physicians their final data analysis for the full-year reporting, and they do not tell physicians whether they are eligible for a 2014 PQRS incentive payment or are in danger of incurring a 2016 PQRS penalty.

Furthermore, physicians who submitted data for the 2014 PQRS by methods other than claims reporting won't have an opportunity to review that information until fall 2015, when the final PQRS feedback reports will be released.

Regarding the 2013 QRURs released on Sept. 30, physicians likely will want to take some time to review their practice quality and cost performance data for calendar year 2013 because that is the performance period chosen by CMS for its value-based payment modifier initiative.(

The agency will apply the value-based modifier to physician payments for items and services covered by the Medicare physician fee schedule for groups of 100 or more eligible professionals in 2015.

According to CMS, the 2013 quality and resource use reports should give physicians clinically meaningful and actionable information they can use to plan for improving the quality and efficiency of health care delivered to their Medicare patients.

Each individual practice report includes an analysis of the practice's performance on cost measures, provides information about the services and procedures contributing most to Medicare patient costs, and examines the practice's performance on quality measures.

Physicians who have questions about either of these programs or how to access their reports can contact the CMS QualityNet help desk at 866-288-8912; support staff are available Monday through Friday from 7 a.m. to 7 p.m. CDT. Help is also available via email at

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CMS: Questions and Answers About the 2013 Quality and Resource Use Reports(