Deadline Extended for Value-Based Payment Modifier and PQRS Informal Review

The Centers for Medicare and Medicaid Services (CMS) has extended the deadlines for Physician Quality Reporting System (PQRS) informal review requests, which now must be received by Dec. 11, and for Value-Based Payment Modifier informal review requests, which now must be received by Dec. 16.

If you believe you have been incorrectly assessed the 2016 PQRS, Value-Based Payment Modifier and Meaningful Use program penalties for 2016, you may submit an informal review request. CMS will investigate incentive eligibility and/or make a payment adjustment determination. All informal review requestors will be contacted via email of a final decision by CMS within 90 days of the original request for an informal review. All decisions will be final and there will be no further review.

All informal review requests must be submitted electronically via the Quality Reporting Communication Support Page (CSP). For additional questions regarding the informal review process, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or [email protected] Monday-Friday from 7:00 a.m. to 7:00 p.m. Central Time. To avoid security violations, do not include personal identifying information, such as Social Security Number or Taxpayer Identification Number (TIN), in e-mail inquiries to the QualityNet Help Desk.


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