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San Francisco Marin Medical Society Blog

February 28 Deadline to Review 2013 PQRS Payments and Penalties



The Centers for Medicare and Medicaid Services (CMS) announced that physicians can use the new Physician Quality Reporting System Look Up tool to verify information without calling the CMS Help Desk.

The PQRS Look Up tool uses the same information that the CMS Help Desk accesses to verify whether a physician is subject to the 2015 PQRS payment adjustment, or if he or she should have received a 2013 PQRS incentive. To utilize the tool, physicians need to type in their Tax Identification Number (TIN) or TIN/ National Provider Identifier (NPI) combination.

Providers, designated support staff/vendors and group practices who submit data for the PQRS program can request to have an informal review of their PQRS reporting performance. An informal review may be requested for any of the following reasons:

  • A practice’s PQRS feedback report indicates that the practice did not earn the PQRS incentive payment when staff believe they should have;
  • A practice believes the PQRS payment amount was incorrect; or,
  • A practice received a notification in error from CMS indicating the provider did not successfully participate in 2013 PQRS and will receive a 2015 PQRS payment adjustment.

All review requests should be submitted by February 28 by contacting QualityNet Help Desk at (866) 288-8912 or via email at qnetsupport@hcqis.org.

Click here to access the PQRS Look Up tool.



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