The 2016 Annual Quality Resource Utilization Reports have been released!
November 16, 2017
Written by Sharon Phelps
CMS released the 2016 Annual Quality and Resource Utilization Reports (QRUR) and the Physician Quality Reporting System (PQRS) Feedback Reports in September. These reports provide a wide array of information and data but, first, you have to gain access to them.
The CMS Enterprise Identity Management system (EIDM) is a portal to allow secure, authenticated access to multiple CMS applications. Depending on your role and your practice, you may have access to more than one CMS application within the EIDM portal.
To access the QRUR and PQRS Feedback Report, you will use the Physician Quality and Value programs (PQ-PV) application. An EIDM account and specific roles are required for participants to access these resources.
EIDM registration consists of two parts:
- Registering for a generic EIDM account (relatively simple)
- Gaining access to the PQ-PV domain to view information and perform specific actions related to your practice (more complicated!)
If you already have an EIDM account, scroll to the bottom of the blog where we have a link for you.
If you do not already have an EIDM account, here is a very helpful resource:
Don’t let the fact this is a 27-page document intimidate or overwhelm you. Pages 1 – 3 contain general information. Starting on page 4, this document uses screen shots and detailed instructions to walk you through the process.
If you are unsure if someone at your practice has already obtained EIDM access for your practice, you can contact the Quality Payment Program by phone at 866-288-8292 and they can tell you who at your facility has access.
Once you receive email notification acknowledging you have successfully created an EIDM account or have obtained an EIDM account, you will need to request access to the PQ-PV application. Those instructions start on page 7 in the document above.
The first decision you need to make in requesting access is to determine what ROLE you will be requesting.
|Practice Type||Role||Allowed Tasks|
|Individual||Individual Practitioner Representative||
(Note —you need a Security Official role at the group level and an Individual Practitioner role at the individual level to approve the respective representative role. If you are uncertain if anyone at your facility has these roles, please call the Quality Payment Program at 866-288-8292 and they can tell you who has the roles at your facility.)
Once you have determined the appropriate role, you will want to gather some important information before proceeding. Because the PQ-PV application contains private information and personal health information identifiable to individual patients, CMS performs identity proofing to ensure you should have access to this information.
Information they will be requesting:
- For the Individual Practitioners role—this information pertains to the SOLO PRACTITIONER.
- For the Security Official role this information pertains to the GROUP practice and the specific individual requesting access.
- Legal Name
- Current Address
- Primary Phone Number
- Date of Birth
- Email Address
- Social Security Number
- Credit report information from Experian (mortgages, loans, residences, etc.)
Once you have made it through the ID proofing section, you will set up MultiFactor Authentication which provides an additional layer of security to ensure only those authorized can access the information and actions contained in PQ-PV.
Finally, the last section, which can create hurdles for some folks, is the need to “create an organization” if you are a group practice, requesting the security official role, and no-one at your facility has ever obtained EIDM access (see instruction on page 18 of the document above). Your organization may be registered multiple places with CMS but if no-one has ever accessed EIDM, you must create the organization the first time someone requests a PQ-PV role. Subsequent enrollments by additional staff will be able to associate to an existing organization.
To “create an organization,” you will need additional information including the National Provider Identified (NPI) number and Provider Transaction Access Number (PTAN) for at least two providers within your group.
If you already have an EIDM account, here is a helpful resource to obtain access to the PQ-PV application:
If you run into any issues getting access into EIDM and the PQ-PV module, you can contact the Quality Payment Program by phone at 866-288-8292.
Please contact the QPP experts at Mountain-Pacific at firstname.lastname@example.org if you have questions on the Quality Payment Program or MIPS.