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Written by Reed Tinsley | January 19, 2018
A video presentation is available for the October 19 webcast on the 2016 Annual Quality and Resource Use Reports (QRURs). This event provides an overview of the report and explains how to interpret and use the information.
The Quality and Resource Use Report (QRUR) shows how your payments under Medicare Part B fee-for-service (FFS) will be adjusted based on quality and cost. Through its Physician Feedback Program, the Centers for Medicare & Medicaid Services (CMS) produce QRURs for all solo physicians and physician groups that have billed Medicare Part B FFS during the reporting year. The QRUR includes information regarding performance on quality and cost of care measures delivered to patients. It is a part of CMS’s effort to move physician payment toward a system that rewards value over volume.
The QRUR analyzes performance at the Tax Identification Number (TIN) level. The report includes performance information from measures reported through the Physician Quality Reporting System (PQRS) and uses Medicare claims to calculate additional quality outcome measures and cost measures. Performance is compared to benchmarks of similar peer groups. Data in the QRUR is used to calculate your Value Based Payment Modifier (VBPM) and subsequent payment adjustments (positive, negative, or neutral).
CMS provides QRURs as a means to help physicians and groups understand the care they deliver to Medicare beneficiaries and identify opportunities for improvement in that care. Reviewing your practice’s QRUR gives you information that can help your practice maximize payments now and in the future.
To obtain your QRUR, click this link:
