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2015 Supplemental Quality and Resource Use Reports are Available

On October 17, 2016, CMS made available the 2015 Supplemental Quality and Resource Use Reports (QRURs). Supplemental QRURs are for informational purposes only and complement the per capita cost and quality information provided in the 2015 Annual QRURs. The information contained in the Supplemental QRURs is not used to calculate payment adjustments.

The Supplemental QRURs are available to every medical group practice and solo practitioner nationwide, including those who participated in the Medicare Shared Savings Program, the Pioneer ACO Model, or the Comprehensive Primary Care initiative in 2015, and those consisting only of non-physician eligible professional (EPs). Medical group practices and solo practitioners are identified in the Supplemental QRURs by their Taxpayer Identification Number (TIN).

The 2015 Supplemental QRURs provide information to TINs on the management of their Medicare fee-for-service (FFS) patients based on resource use measures that consist of episodes of care (“episodes”). An episode includes the set of services provided to treat, manage, diagnose, and follow-up on a clinical condition or treatment.

Authorized representatives of group and solo practitioners can access the 2015 Supplemental QRURs on the CMS Enterprise Portal using an Enterprise Identify Data Management (EIDM) account with the correct role. Only TINs with at least one attributed episode will receive a full 2015 Supplemental QRUR. For more information on how to access the 2015 Supplemental QRURs, please see the “Instructions for Medical Group Practices and Solo Practices to Access Their 2015 Supplemental QRURs,” available for download on this CMS webpage.

Please note: If you use Internet Explorer (IE) as your web browser, please make sure the CMS Enterprise Portal (https://portal.cms.gov) is added to the browser’s trusted sites to prevent problems exporting your feedback report(s) to Excel. On the browser tool bar, go to Tools, select Internet Options, select the Security tab and then select Trusted Sites. On the Trusted Sites screen, click on the Sites button. If you don’t see the portal address in the list of trusted Websites click the Add button to add the portal address. Select Close and then OK to save and return to the IE. Alternatively, you may use Chrome or Firefox as your browser to view and export your report(s).

For information about the 2015 Supplemental QRURs, contact the QRUR Help Desk at pvhelpdesk@cms.hhhs.gov or call 1-888-734-6433 (select option 3).

Also, note that CMS is hosting a National Provider Call (NPC) in support of the Supplemental QRURs on October 20, 2016. Information regarding this NPC event can be located here.