2009 PQRI and eRx incentive program feedback reports
2 December 2010
The Centers for Medicare and Medicaid Services (CMS) has shared the following status of its Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (eRx) incentive program reports are as follows:
- The 2009 PQRI and eRx incentive program feedback reports will be available again on the PQRI portal, after temporarily halting production of the PQRI feedback reports to investigate some conflicting field information in the reports.
- The taxpayer identification number (tax ID number or TIN) level reports, which include the National Provider Identifier or NPI level reports, were made available on the PQRI portal on Nov. 22.
- Individual NPI reports will be made available or may be requested through your carrier or Medicare administrative contractor.
Please note that feedback reports are compiled at the TIN level, with individual-level reporting NPI information for each eligible professional who reported at least one valid PQRI and/or eRx quality-data code (QDC) on a claim submitted under that TIN for services furnished during the reporting period. The TIN or NPI must be the one used by the eligible professional to submit Medicare claims and valid PQRI and/or eRx QDCs.
If a 2009 PQRI and/or eRx incentive program feedback report is available for your organization’s TIN or NPI, there are two ways to access your report:
- Individuals authorized access to the CMS computer services (IACS): Eligible professionals can log on to the secure “Physician and Other Health Care Professionals Quality Reporting Portal” on QualityNet to access their feedback report(s) based on their TIN or for a group. Access to the portal requires registration in the IACS system to obtain a user ID and password. Information on creating and/or updating an IACS account is included later in this message.
- Alternative feedback report method: An individual eligible professional can simply call his or her respective carrier or Medicare administrative contractor (MAC) provider contact center to request confidential 2009 PQRI or eRx feedback reports that will contain information based on the eligible professional’s individual NPI. If an eligible professional is part of a group practice, each eligible professional in the group practice must individually call their respective Carrier/MAC provider contact center to request a feedback report based on the individual NPI. To view a list of provider contact centers, click here. In addition to reporting information, these reports will provide individual eligible professionals with information on their Medicare Part B physician fee schedule-allowed charges for the 2009 reporting period, upon which an incentive payment is based.
Additional information can be found at: