Confidential Feedback Reports

90 – Confidential Feedback Reports (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) In accordance with section 1848(m)(5)(H) of the Act, CMS provides confidential annual feedback reports on Physician Quality Reporting System reporting to participating eligible professionals at or near the time that the lump sum incentive payments for a particular payment year are made. Feedback reports for the 2009 Physician Quality Reporting System, for example, would be provided in 2010. In addition to confidential annual feedback reports, beginning 2012, CMS will provide confidential interim feedback reports on Physician Quality Reporting System reporting. Access to confidential feedback reports may require eligible professionals to complete an identity-verification process. However, receipt of a report is not required to participate in the Physician Quality Reporting System or to receive an incentive payment. Feedback reports are available for every TIN under which at least one eligible professional (identified by his or her National Provider Identifier, or NPI) submitting Medicare Part B FFS claims reported at least one valid Physician Quality Reporting System measure a minimum of once during the reporting period. Thus, to receive a feedback report the eligible professional must have had at least one valid Physician Quality Reporting System submission. A valid submission is defined as receipt by CMS of the correct numerator, denominator codes, age and gender (where applicable) as listed in the applicable Physician Quality Reporting System quality measure specifications manual. The Physician Quality Reporting System quality measure specifications are subject to change for each program year. The Physician Quality Reporting System quality measure specifications manual for the current or an upcoming program year is posted on the Measures Codes page at http://www.cms.gov/PQRS. Physician Quality Reporting System measure specifications for prior program years are archived on the appropriate Physician Quality Reporting System Program page of the CMS Physician Quality Reporting System website at http://www.cms.gov/PQRS. In addition, section 1848(m)(5)(G) of the Act requires CMS to post on the CMS website, in an easily understandable format, a list of the names of the eligible professionals who satisfactorily submitted data on quality measures under Physician Quality Reporting System. Therefore, beginning with the 2009 Physician Quality Reporting System, the names of eligible professionals and group practices who satisfactorily submit data on quality measures for the Physician Quality Reporting System will be posted on http://www.medicare.gov. The names of eligible 38 professionals (and group practices) who satisfactorily submit data on quality measures for a particular year are publicly posted after the lump sum incentive payments for that program year are made in the following year.