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How to Obtain a QRUR

Note: The final performance period for the Value Modifier and Physician Quality Reporting System (PQRS) programs was 2016 and the final payment adjustment year is 2018. Therefore, the Quality and Resource Use Reports (QRURs) and PQRS Feedback Reports will no longer be available after the end of 2018. All QRURs and PQRS Feedback Reports provided under these programs will remain available for download until December 31, 2018. Authorized representatives of groups and solo practitioners can access their QRURs and PQRS Feedback Reports at https://portal.cms.gov using an Enterprise Identity Management (EIDM) system account with the correct role. The QRURs can be downloaded as PDF or Excel files, and the PQRS Feedback Reports can be downloaded as Excel files. For instructions on signing up for an EIDM account and accessing the QRURs and PQRS Feedback Reports, please visit the How to Obtain a QRUR webpage.

For access to PQRS Taxpayer Identification Number (TIN) or National Provider Identifier (NPI) reports from program year 2013 or earlier, please contact the QualityNet Help Desk, Monday - Friday; 7:00 a.m. - 7:00 p.m. Central Time (CT) as they are no longer available from the “Communication Support Page” section of the QualityNet Secure Portal.

The Merit-based Incentive Payment System (MIPS) under the new Quality Payment Program replaced the Value Modifier and PQRS programs. We encourage everyone to learn more about the Quality Payment Program by visiting qpp.cms.gov. Please note that the QRURs and PQRS Feedback Reports are not the same as the MIPS Performance Feedback that is available under the Quality Payment Program.


You can access a Quality and Resource Use Report (QRUR) on behalf of a group or solo practice at https://portal.cms.gov. Groups and solo practices are identified in the QRURs by their Medicare-enrolled Taxpayer Identification Number (TIN). You or one person from your practice will need to obtain an Enterprise Identify Management System (EIDM) account with the correct role first. The sections below, “Setting up an EIDM account to access a group’s QRUR” and “Setting up an EIDM account to access a solo practitioner’s QRUR”, will tell you how. Once you have an EIDM account with the correct role, refer to the instructions provided in the “Downloads” section below to access a QRUR. Detailed step-by-step instructions for accessing a practice’s 2016 Annual QRUR are available here and a quick reference guide is available here .

To find out whether there is already someone who can access your practice’s QRUR, please contact the QualityNet Help Desk at the number provided in the “Technical Assistance” section below and provide your practice’s TIN and the name of your practice.

For information on the 2016 PQRS Feedback Reports and how to request them, individual EPs and group practices should visit the PQRS Analysis and  Payment webpage and access the "2016 PQRS Feedback Report User Guide " and the "Quick Reference Guide for Accessing 2016 PQRS Feedback Reports " or the “Quick Access Guide for the 2016 PQRS Feedback Reports ”.

Both the PQRS Feedback Reports and QRURs can be accessed at https://portal.cms.gov using the same EIDM account.

Setting up an EIDM account to access a group’s QRUR
  • A group is defined as a TIN with 2 or more eligible professionals (EPs), as identified by their National Provider Identifier (NPI), that bill under the TIN.
  • To access a group's QRUR, one person from the group must first sign up for an EIDM account with the Security Official role.
    • If additional persons are needed to access the group's QRUR, then they can also request the Security Official role or the Group Representative role in EIDM.
  • If you do not have an IACS or EIDM account, then follow the instructions provided here to sign up for an EIDM account with the correct role.
  • If you already have an EIDM account, then follow the instructions provided here to sign up for the correct role in EIDM. 
Setting up an EIDM account to access a solo practitioner’s QRUR
  • A solo practitioner is defined as a TIN with only 1 EP, as identified by a NPI, that bills under the TIN.
  • To access a solo practitioner's QRUR, one person must first sign up for an EIDM account with the Individual Practitioner role.
    • If additional persons are needed to access the solo practitioner’s QRUR, then they can also request the Individual Practitioner role or the Individual Practitioner Representative role in EIDM.
  • If you do not have an IACS or EIDM account, then follow the instructions provided here to sign up for an EIDM account with the correct role.
  • If you already have an EIDM account, then follow the instructions provided here to sign up for the correct role in EIDM. 

Payment Adjustment and Reports Lookup Feature  

There is a new feature available on the CMS Enterprise Portal website that will allow a representative of a group or solo practitioner, as identified by its TIN to: (1) look up the TIN’s current and prior years’ Value Modifier and PQRS payment adjustments, and (2) find out which feedback reports are available for the TIN (i.e., the Annual QRUR, PQRS Feedback Report, Mid-year QRUR, and Supplemental QRUR). Please note that an EIDM account is not needed to use this feature; however, an EIDM account with the correct role will be needed in order to access any of the TIN’s feedback reports. Instructions for using this feature is located below in the document titled “Guide for Accessing the Payment Adjustment and Reports Lookup Feature”.

 

Technical assistance

For questions about setting up an EIDM account, and/or resetting your EIDM password, or for questions about the 2015 PQRS Feedback Report content, please contact the QualityNet Help Desk:

  • Monday – Friday: 7:00 am – 7:00 pm Central Time
  • Phone: 1 (866) 288-8912 (TTY 1-877-715-6222)
  • Fax: 1 (888) 329-7377
  • Email: qnetsupport@hcqis.org

For questions about the content of the QRUR, please contact the Physician Value Help Desk:

  • Monday – Friday: 8:00 am – 8:00 pm EST
  • Phone: 1 (888) 734-6433, press option 4; (TTY 1-888-734-6563)
  • Fax: (469) 372-8023
  • Email: pvhelpdesk@cms.hhs.gov

 

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