The last QRURs are here! Clinicians have until Dec. 1 to dispute their quality report cards.

by: Julia Kyles, CPC Sep 18, 2017

Take time to download - and decipher - the quality and resource use report for your practice's clinicians. That's the only way you'll know whether individual providers or the entire practice will be subject to a pay cut based on their 2016 physician quality reporting system efforts.

According to Medicare's 2016 QRUR and 2018 value modifier webpage, the reports are here and ready for review

On September 18, 2017, CMS made available the 2016 Annual Quality and Resource Use Reports (QRURs) to every group practice and solo practitioner nationwide. The 2016 Annual QRURs show how physician, physician assistants (PAs), nurse practitioners (NPs), clinical nurse specialists (CNSs), and certified registered nurse anesthetists (CRNAs) 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 2018 Value Modifier payment adjustment. Groups and solo practitioners are identified in the QRURs by their Medicare-enrolled Taxpayer Identification Number (TIN).

If you disagree with Medicare's findings, you'll have until Dec. 1, 8 p.m., ET to file an informal review request. And it's better to get it over with. The final rule for year two of the merit-based incentive payment system and you may need the end of the year to get ready.

Blog Tags: PQRS, Value-based modifier

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