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New: Important Information for Medicare Providers Regarding the Qualified Medicare Beneficiary Program 11/6/17

Medicare Quality Program Updates

CMS Physician Compare Data Preview Period Extended 11/2/17

MIPS Cost Measure Field Testing 11/1/17

Informal Review Requests – Don’t Wait! 10/24/17

2017-2018 CMS Flu Coding Guide 10/12/17

Medicare Learning Network (MLN) Fact Sheet: Guidelines for Teaching Physicians, Interns, and Residents

New Medicare Cards with New Numbers 7/13/17

5 Ways to Prepare Your Practice for New Medicare Cards 6/16/17

MIPS Group Registration Ends 6/30/17 6/1/17

MACRA Corner: MIPS Participation Exemptions; Open Payments Review/Dispute Deadline  4/27/17

MACRA Corner: New MIPS Resources; MIPS Navigator Tool  4/20/17

MACRA Corner: Pick Your Pace; Individual vs. Group Reporting; Need a Hand? 4/13/17

2016 PQRS Reporting Dates – Q1 2017  Updated 2/23/17

PQRS Corner: CMS MACRA QPP Call; Webinars, We’ve Got Webinars  12/1/16

PQRS Corner: Register Now for a Live MACRA Event – CME Available 11/23/16

PQRS Corner: MACRA Resources, Review Your AQRUR Now  11/17/16

PQRS Corner: New MACRA Learning Opportunity, Informal Review Deadline Reminder  11/10/16

PQRS Corner: Time to Review Your AQRUR, Live MACRA Webinars 11/3/16

PQRS: Corner: Knowledge is Power, Register Now for AQRUR & MACRA Webinars 10/20/16

Be Prepared: PQRS Negative Adjustment Notification

2017 PQRS Payment Adjustment Notification 10/3/16

2015 PQRS Feedback Reports and 2015 AQRURs Now Available 9/28/16

New CSMS Webinars: AQRUR & MACRA

Medicare Revalidation Deadline Reminder

National Health Care Surveys, Meaningful Use and Public Health

EHR Hardship Exception & GPRO Registration Deadlines

Medicare DMEPOS Program Update

PQRS Corner: New MYQRUR Webinars, GPRO Reminders

PQRS Corner: 2015 Reporting Problems, GPRO Registration, How to Know if Your Claims are Adjusted

2016 Open Payments Review & Dispute Period Now Open 4/1/16 – 5/15/16

PQRS Corner: 2015 Data Submission Deadline – This Is It; 2016 PQRS Measures Resources

PQRS Corner: Deadline Reminders, ACO Reporting Details

PQRS Corner: Deadline Extensions for EHR, QCDR Reporting; Revised Searchable MPFS Booklet 

PQRS Corner: Report It or Lose It, Encore Webinars, Quality Measure Comment Period

PQRS Corner: 4 Weeks to Go, QRDA File Testing Recommended

New: Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries

PQRS Corner : On-Demand Webinars, Data Submission Dates Coming Up Fast, CMS Comment Period Ends Soon

PQRS Corner: Don’t Feel Like Reporting Your 2015 Data? Data Submission Deadline Reminder, QualityNet Help Desk

PQRS Corner: Share Your Thoughts, Webinars, Data Submission Deadlines, New PQRS Search Tool

PQRS Corner: 12/16 is Last Chance for Informal Review, PQRS Changes to 2016 Physician Fee Schedule Final Rule

PQRS Corner: Informal Review Deadline Extension, 2015 Reporting, QualityNet Help Desk

PQRS Corner: 2016 PFS Call, New EHR Incentive FAQ,  Updated Webinars

PQRS Corner: Informal Review Deadline Extended to 11/23, AQRUR Encore Webinar

PQRS Corner: Heads Up for 2015

PQRS Corner: CMS Virtual Office Hours, CSMS Webinars, MLN Connects Calls

PQRS Corner: Informal Review Reminder, Webinars, Physician Compare Data Preview

New: PQRS 2016 Informal Review Process
Requests for 2016 informal review must be made between 9/9/15 and 11/9/15.

PQRS Corner: MLN Calls (AQRUR and 2017 Payment Adjustments)

PQRS Corner: PECOS Update

PQRS Corner: Webinar Reminders

PQRS Corner: IACS/EIDM transition, EHR reporting for PQRS webinar

PQRS Corner: GPRO Deadline, CSMS encore webinar, QualityNet Help Desk

Meaningful Use Hardship Exception Deadline

2015 eCQM Annual Updates Now Available

Groups: Go GPRO by June 30 

PQRS Corner: 2016 Measure Changes, 2015 testing, QualityNet

MYQRUR: Fast Facts, How to Access, MLN Call

Group Practice Reporting Option for 2015

CMS Update: 2015 Medicare Physician Fee Schedule

Mid-YearQuality and Resource Use Reports (QRUR)

Medicare Learning Network Resources – PQRS

CMS Update on Provisions Expiring April 1, 2015

Changes to Local Coverage Determinations (LCD)effective 4/1/15

Upcoming webinars for 2015 PQRS reporting:

PQRS:Reporting Once for 2015 and PQRS Virtual Office Hours. Details here.

Deadline change for EHR & QCDR submission of 2014 PQRS data – now March 20, 2015 at 8 pm. Click here for the details .

Important February Deadlines 

Filing 2014 PQRS data with QCDR/QRDA Category III? Read this to avoid potential submission errors.

PQRS Data Submission Process

2014 PQRS Reporting Timeframes  Please note: 2014 PQRS data is used to determine 2016 payment adjustments.

PQRS/Value-Based Payment Modifier video

This MLN Connects™ video presentation provides an overview of the value-based payment modifier and how it relates to the Physician Quality Reporting System (PQRS). It also provides a walkthrough of a very detailed decision tree that has been created to help physicians determine how the value modifier in 2016 will be affected by their PQRS participation this year.

QRUR: What you need to know

Group practices and physician solo practitioners nationwide can now access 2013 QRUR quality and cost performance data for CY 2013. This is the performance period for the Value-Based Payment Modifier (VM) applied to physician payments in 2015.

The 2013 QRUR data provides clinically meaningful and actionable information to use in planning improvements in the quality and efficiency of care

Fact sheets: Policy and payment changes to the Medicare Physician Fee Schedule for 2015

2013 PQRS reports now available

VBPM Deadline: Groups of 10 or more must register by September 30

SBIRT Services Factsheet

General information (includes billing, coding, provider enrollment & certification)

Medicare FFS Physician Feedback Program/Value-Based Payment Modifier

Physician Quality Reporting System (PQRS)

Open Payments/Sunshine Act

Open Payments Overview



CSMS Webinars

Learn the basics of Medicare quality programs with the free, on-demand CSMS webinar series.

CMS Outreach & Education

The CMS Outreach & Education page provides free resources for physicians and office staff, including the Medicare Learning Network (MLN), Innovation Center webinars and forums, compliance training and more.

ICD-10 Update: Provider Resources

Previous webinar presentations and recordings can be accessed on the Resources page of the CMS eHealth website.


PQRS: New Remittance Codes

Are you a PQRS eligible professional participating in claims-based reporting this year? Effective July 1, 2014, you will have to use the updated Remittance Advice Remark Codes (RARCs) for PQRS claims-based reporting that went into effect on April 1, 2014.

CMS has released a new FAQ with information about the updated codes.

What are the New Codes and What Do They Mean?
Eligible professionals who bill on a $0.00 Quality-Data Code (QDC) line item will receive the N620 code, which replaces the current N365 code. Also, eligible professionals who bill on a $0.01 QDC line item will receive the CO 246 N572 code.

The new RARC code N620 will be your indication that the PQRS codes were received into the CMS National Claims History (NCH) database.

The new RARC N572 with the Claim Adjustment Reason Code 246 (with Group Code CO or PR) indicates that the procedure is not payable unless non-payable reporting codes and appropriate modifiers are submitted.

Remember: The new codes will be effective on July 1, 2014. The old codes will be deactivated on the same date.


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