Understanding QRURs: Have You Reviewed Yours?

The 2015 Mid-Year (July 1, 2014 and June 30, 2015) and Annual (January 1 to December 31, 2015) Quality and Resource Use Reports (QRURs) are now available for group practices and solo practitioners across the country, including providers who participated in the Accountable Care Organization (ACO) Shared Savings Program.  

The reports show practitioners how they performed and how their quality measures are used to calculate the Value-Based Modifier (VBM) payment adjustment.  

These reports contain exhibits on both quality and cost measures. Quality measures are measures reported via Physician Quality Reporting System (PQRS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS). Cost measures are measures reported via administrative claims. The information on your 2015 QRUR report and performance scores were recently released on the CMS Physician Compare website.  Learn more by watching the most recent AAAAI QRURs & Physician Compare webinar.

To access your QRURs, log into the CMS Enterprise Portal or visit the CMS website and click on How to Obtain a QRUR or How to Understand Your 2015 Annual QRUR.

For Physician Compare questions, suggestions, or other feedback, contact the Physician Compare Support Team at PhysicianCompare@Westat.com.

For questions about the 2015 Annual QRUR, 2017 Value Modifier, and how to request an informal review of the 2017 Value Modifier, contact the Physician Value Help Desk.
• Monday – Friday: 8:00 am – 8:00 pm EST
• Phone: 1-888-734-6433 (select option 3)
• Email: pvhelpdesk@cms.hhs.gov

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