• See if you’re due a penalty in the 2015 PQRS physician feedback report

    Individual physicians and groups can now access their 2015 Physician Quality Reporting System (PQRS) Physician Feedback reports, which provide valuable information about your practice and whether you will face a Medicare penalty in 2017.

    Physicians can access the reports through the CMS Enterprise Portal. Users must have an Enterprise Identity Management (EIDM) account with the appropriate role to access the reports. You can also access your Quality and Resource Use Reports (QRUR), which were also recently released, through the same portal.

    The Physician Feedback reports will provide the determination on whether you met the PQRS criteria to avoid a 2 percent negative payment adjustment in 2017. Information is available for all measures reported by your National Provider Identifier (NPI) for each reporting method. You can review if your successfully reported all your measures and see a brief rationale for any payment adjustment, such as insufficient measures reported. It also includes reporting rate and performance rate percentages.

    You can file an informal review request if you feel the negative payment adjustment was an error. The informal review period is open until Nov. 30. Reviews can be filed through the Quality Reporting Communication Support Page. For more information or additional questions, contact the QualityNet Help Desk at qnetsupport@hcqis.org or (866) 288-8912. A Feedback Report User Guide is available online.

    The Centers for Medicare & Medicaid Services will mail out payment adjustment notification letters at a later date. Accessing the Physician Feedback reports now will allow you to review your performance and file an informal review before the deadline.

    – Erin Solis, Regulatory Compliance Strategist at the American Academy of Family Physicians

    Posted on Sep 30, 2016 by David Twiddy

    Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.