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Important Information About Electronic Prescribing (eRx) Incentive Program Feedback Reports
The Centers for Medicare & Medicaid Services (CMS) would like to share this important information with participants in the 2009 Physician Quality Reporting Initiative (PQRI) or Electronic Prescribing (eRx) Incentive Program.
After beginning the release of the 2009 PQRI Feedback Reports, CMS temporarily halted production of the files to investigate some conflicting field information in the reports. The 2009 PQRI and eRx Incentive Program feedback reports will soon be made available on the PQRI portal. CMS anticipates that the Taxpayer Identification Number (Tax ID Number, or TIN) level reports, which include the National Provider Identifier or NPI level reports, will be available the week of November 22, 2010 on the PQRI Portal. Individual NPI reports will be made available shortly afterward, and may be requested via your Carrier or Medicare Administrative Contractor.
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. Bottom of Form 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:
1) 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 at http://www.qualitynet.org/pqri on the internet, 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. or
2) 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 obtain a list of Provider Contact Centers, visit http://www.cms.gov/MLNProducts/Downloads/CallCenterTollNumDirectory.zip on the CMS website. In addition to reporting information, these reports will provide individual eligible professional s with information on their Medicare Part B Physician Fee Schedule (PFS) allowed charges for the 2009 reporting period, upon which an incentive payment is based.
Additional information about this alternative feedback report request process can be found by accessing special edition Medicare Learning Network (MLN) article (SE0922) “Alternative Process for Individual Eligible Professionals to Access Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Feedback Reports.” Visit http://www.cms.gov/MLNMattersArticles/downloads/SE0922.pdf on the CMS website.
The IACS home page for the Provider/Supplier user Community, which includes eRx and PQRI is at http://www.cms.gov/IACS/04_Provider_Community.asp on the CMS website. Provider Community users should direct questions or concerns to the QualityNet Help Desk at 1-866-288-8912, (Monday - Friday 7:00 a.m.-7:00 p.m. CST) or via e-mail at qnetsupport@sdps.org on the internet.
Resources
The Physician and Other Health Care Professionals Quality Reporting Portal is available at http://www.qualitynet.org/pqri on the internet. Although the “Forgot Password” link on the Portal sends users to the IACS website, IACS and the Portal are two separate websites.
Who to Call for Help
Users who still have questions or need assistance should contact the QualityNet Help Desk at 1-866-288-8912 (Monday-Friday 7:00 a.m.-7:00 p.m. CST) or qnetsupport@sdps.org on the internet.
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