November 7, 2013
Centers for Medicare & Medicaid Services
Eligible professionals (EPs), designated support staff/vendors, and group practices who submitted data for the 2012 Physician Quality Reporting System (PQRS) program can now request to have an informal review of their 2012 PQRS reporting performance.
An informal review may be requested if the feedback report reveals that the EP or group practice did not earn the 2012 PQRS incentive payment when they believe they should have, or when they believe the payment amount was incorrect. Informal review requests will be accepted from November 1, 2013 through February 28, 2014.
The informal review will be for all 2012 reporting methods, including:
Steps to Request an Informal Review
In order to request an informal review of 2012 PQRS performance, CMS must receive a valid informal review request via the web-based tool, Quality Reporting Communication Support Page, during the informal review period. Please follow the steps below to submit a valid request:
For more information about the informal review, see the 2012 PQRS Informal Review Made Simple fact sheet or visit the PQRS website. You can also learn about other eHealth initiatives at CMS by visiting the CMS eHealth website.