PQRS: Last Day to File an Informal Review Request to Appeal Errors in Your Medicare PQRS Feedback Report and/or QRUR
On Sept. 17, 2017, Medicare announced the release of two quality reports generated under the 2016 Physician Quality Reporting System (PQRS) and the 2016 Value-Based Payment Modifier program: PQRS feedback report and annual Quality and Resource Use Report (QRUR). The reports include information about your quality and cost performance and whether you'll get hit with penalties or receive bonus payments. The deadline to file an "informal review request" to appeal errors is Dec. 1, 2016.
If you disagree with Medicare's analysis of your quality and cost performance or believe your data are incorrect, submit what is called an "informal review request" by Dec.1, 2017. This is the only appeals-like process Medicare has for the PQRS and value modifier programs. Once you've submitted your request, Medicare will review your data again and respond to you through email within 90 days of your submission.
To learn how to access your reports and file an informal review request, click on the TMA link below