Contractor Verification and Reporting Instructions for PQRS

20.2 - Contractor Verification and Reporting Instructions for PQRS (Rev. 11, Issued: 03-26-13, Effective: 06-25-12, Implementation: 06-25-12) Contractors shall verify that the PQRS Incentive payments have made it through every aspect of processing to payment, including documented confirmation that all payments have been made. Contractors shall receive Excel spreadsheets for each reporting period from CMS via an e-mail notification that lists the grand total of each contractor’s incentive payments and the total number of checks each contractor shall issue. Prior to issuing the incentive payments, each contractor shall confirm that the grand total incentive payment amount and the total number of checks to be paid from their FINAL file for the incentive payment reporting period match the totals from the Excel spreadsheet. Prior to issuing the incentive payments, contractors shall send their findings from comparing the payment files for the reporting period to the Excel spreadsheet via email to their Contractor Manager or Project Officer as appropriate, with an informational copy to PQRS_eRx_Payment_Issues@cms.hhs.gov. Contractors shall notify CMS via email of the date when all of the payments have been completed for the reporting period to their Contractor Manager or Project Officer as appropriate, with a copy to PQRS_eRx_Payment_Issues@cms.hhs.gov. Each contractor will report separate results of the incentive payments to CMS as soon as possible but no later than 30 calendar days after payments have been completed using the Incentive Payment Results Report form displayed in Exhibit 1. NOTE: The Incentive Payment Results Report displayed in Exhibit 1 is the only acceptable format for capturing this information. CMS will not accept any other formats. Also, contractors are to insert the change request (CR) number for the recurring update notification associated with the payment in the title of the Incentive Payment Results Report. Once issues are identified that have prevented payment of the PQRS incentive, where possible contractors shall notify any impacted providers of the issue and the expected resolution date. The Medicare contractors send their findings for the Incentive Payment Results Report via e-mail to their Contract Manager or Project Officer as appropriate, with an informational copy to PQRS_eRx_Payment_Issues@cms.hhs.gov. If payment issues are reported in the Incentive Payment Results Report, the Medicare contractor is required to provide updates to CMS once each week until the payment issues have been resolved.