2016 PQRS Feedback Reports and Annual QRURs Available

The 2016 Physician Quality Reporting System (PQRS) Feedback Reports and 2016 Annual Quality and Resource Use Reports (QRURs) are now available:

• PQRS Feedback Reports provide program results for 2016, including if you are subject to the 2018 PQRS downward payment adjustment
• The 2016 Annual QRURs show how physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists in groups and solo practitioners performed in 2016 on the quality and cost measures used to calculate the 2018 Value Modifier, as well as their practice’s 2018 Value Modifier payment adjustment

If you perceive that your payment adjustment status was made in error, you may request an informal review of your 2016 PQRS results and/or 2018 Value Modifier calculation during the informal review period that will close on December 1, 2017, at 8 p.m. ET:

• 2016 PQRS: 2018 Downward Payment Adjustment – Informal Review Made Simple Guide
• 2018 Value Modifier Informal Review Request Quick Reference Guide

An Enterprise Identify Management (EIDM) account with the appropriate role is required for participants to obtain their 2016 PQRS Feedback Reports and 2016 Annual QRURs. Both reports can be accessed on the CMS Enterprise Portal using the same EIDM account. Visit the How to Obtain a QRUR webpage for instructions on accessing both reports.

For More Information on Your PQRS Feedback Report:

• Analysis and Payment webpage
• 2016 PQRS Feedback Report User Guide
• Register for the September 26 call

For More Information on Your Annual QRUR:

• 2016 QRUR and 2018 Value Modifier webpage
• Register for the October 19 webcast

Payment adjustments under the PQRS and Value Modifier programs end in 2018. The Merit-based Incentive Payment System under the new Quality Payment Program combines the PQRS, the Value Modifier program, and the Medicare Electronic Health Records Incentive Program for eligible professionals. To prepare for success in the Quality Payment Program, review your PQRS feedback report and annual QRUR. Visit the Quality Payment Program website to learn more.

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.