Medicare Compliance & Reimbursement

The review period to check your 2016 annual Quality and Resource Use Reports (QRURs) opened on Sept. 18 and will run through Dec. 1, 2017. The 2016 data, which is used to adjust Medicare payments under the Value Modifier program, ends in 2018 and was replaced on Jan. 1, 2017 by MIPS under the Quality Payment Program for the 2019 payment year.

“Authorized representatives of groups and solo practitioners can access the 2016 Annual QRURs and file an informal review on the CMS Enterprise Portal using an Enterprise Identify Data Management (EIDM) account with the correct role,” the CMS guidance says.

To find out more about informal review of your QRUR, visit https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/2016-QRUR.html.