Frequently Asked Questions

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FAQ

What simple steps can I take to submit Physician Quality Reporting System (PQRS) quality measures data on claims?

Take the following steps to begin claims-based reporting for PQRS: 
  1. Review the CMS PQRS How to Get Started webpage for step-by-step instructions.
  2. Use the measure specifications to identify measures applicable for professional services you routinely provide.
  3. Select those measures that make sense based upon prevalence and volume in your practice as well as your individual or practice performance analysis and improvement priorities.
  4. Review the measures that you have selected to become familiar with how to apply and correctly code the measures.
  5. Refer to the PQRS Implementation Guide, PQRS Claims Reporting Made Simple, and PQRS Claims-Based Coding and Reporting Principles for more detailed information and reporting tips at the PQRS Measures Codes webpage.
  6. Ensure that your billing software and clearinghouse can correctly submit PQRS quality-data codes (QDCs) on your behalf to the carrier.
  7. Regularly review the Remittance Advice Notice you receive from the Carrier/Medicare Administrative Contractor (MAC) to ensure that the denial remark code N620 is listed for each QDC submitted.

For additional questions, please contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) or via email to Qnetsupport@hcqis.org. They are available from 7:00 a.m. to 7:00 p.m. Central Time, Monday through Friday.


(FAQ2235)

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