QRUR Templates and Methodologies

This page contains links to QRUR templates, methodologies, and supporting information for two versions of the Quality and Resource Use Report (QRUR) that CMS issued in 2012: to individual physicians in nine states and large groups of physicians that participated in the PQRS group reporting option in 2011. CMS will create new reports and supporting document annually to support the physician value initiative and the value-based payment modifier. On the archive page, we will retain an archive of previous report templates and methodologies.

QRURs for Medical Practice Groups

During 2011, 54 large medical practice groups chose to participate in the CMS Physician Quality Reporting System Group Reporting Option 1 (GPRO-1). Each of the 54 groups was comprised of at least 200 eligible professionals sharing a single tax identification number (TIN). In December 2012, CMS provided a group-level confidential feedback report to each of these groups. The Downloads section, below, contains a list and links to all important documents related to the QRURs for Medical Group Practices: report template, methodology and other related information.

This document analyzes cost and quality performance across 54 large medical practice groups that chose to participate in the PQRS web interface group reporting option during calendar year 2011. The medical practice groups each had at least 200 individual physicians and other eligible professionals who had reassigned their fee for service Medicare billing to a single Tax Identification Number (TIN).  More than 37,745 eligible professionals are represented by the 54 medical practice groups.   In addition to comparing each group to the mean of all 54 groups, this document also compares 2011 performance on quality measures (in aggregate) to average performance in 2010.

QRURs for Individual Physicians Practicing in Groups

Available December 17, 2012-April 2013 are feedback reports for about 94,000 individual physicians practicing in groups of twenty-five or more eligible professionals who provided care to Fee-for-Service Medicare patients in one of nine states:  California, Illinois, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, and Wisconsin during calendar year 2011. These reports contain information about resources used, per capita costs per beneficiary, and performance on quality measures derived from CMS-calculated administrative claims and from the CMS Physician Quality Reporting System (PQRS), Based on claims submitted to Medicare, the QRURs for individual physicians highlight each physician's degree of involvement with Medicare patients during 2011. For iInformation about how physicians can obtain their own QRUR (if they meet the criteria above) go to http://www.qrurinfo.com personal identifiers are required).