CMS Submission User Manual - Falcon Healthcare Systems
Contents
1. user s role authorization Submission Reports Click the link to generate or view reports based upon submission activity The type of report available is dependent on the user s role authorization Roles Management Click the link to send notification to the organization s Security Official with a request a role Navigation through the system is accomplished by clicking the appropriate buttons and links shown on the screens To print a screen press CTRL P select a printer and then click Print 3 4 Exiting the System To exit the system click Log Off on the Site Navigation Menu Figure 7 Figure 7 Exiting the System qualitynet Site Navigation EHR Aggregate Submission Welcome tufd235 T Aggregste Submission EHR Direct Submission Select document s for submission in Production mode Select Document s ERX Submission Registry Submission Roles Management Submission Engine Validation Tool Submission Reports JRE Download Instructions Submis the Java Runtime Environment JRE version 6 Please download the recommended version of the JRE if your computer does not meet this requirement QualityNet Help Desk Accessibilty Statement Privacy Policy Terms of Use Submission User Manual V2 1 7 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System 4 Using the System 4 1 PQRS Portal The PQRS Portal Home Page is the location users sign in to access2. 20 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Referenced Documents Referenced Documents Not applicable Submission User Manual V2 1 21 PQRS eRx PY2013 Phase 1 Part 2
3. amp Medicaid Services of the U S Department of Health and Human Services For the purpose of protecting the rights end property of the Department and to moniter compliance with all applicable statutes regulations agreements and policies date access entry and utilization may be monitored intercepted recorded copied audited inspected or otherwise captured and or analyzed in any manner Use of this system by any user authorized or unauthorized constitutes consent to this monitoring interception recording copying auditing inspecting or otherwise capturing and or analyzing of data access entry and or utilization through this system Unauthorized access is prohibited by Title 18 of the United States Code Section 1030 Unauthorized access or use of this computer system may subject violators to criminal civil and or administrative action System personnel may give any potential evidence of crime found on Department computer systems to law enforcement officials System users are required to adhere to all applicable statutes regulations agreements and policies governing their access to and use of the data contained within this system including but not limited to CMS Information Security Policies Standards and Procedures Ir WARNING WARNING WARNING Check the box accepting terms and conditions then click Accept P o I accept the above Terms and Conditions 4 For Registry and EHR users logging into the PQRS Subm
4. 0 days or more your account has been temporarily disabled as required CMS security policy You should Nave received an e mail st the e mail address associated with your IACS sccount PORS eRx SEVT User Guide F i you New to get your account re enabled If you need further assistance please contact the QualityNet Help Desk at 1 866 288 9912 or qnetsupport sdps org PQRS eRx Submission User Guide EI ee PORS eRx Submission Report User Guide EI zeckt you are expenencing difficulties viewing the PORS Communications Support Page with Intemet Explorer 8 0 please ensure PORS Feedback Report User Guide that yd are using the compatibility view feature By doing the following Open Internet Explorer Select Tools Select Compatibility View eRx Feedback Report User Guide eRx Payment Adjustment Feedback User Guide 2012 PORS GPRO Web Interface User Manus T2 2012 ACO GPRO Web Interface User Manus EI 2012 PORS Feedback Dashboard User Guide Communication Support Page please contact the QualityNet Help Desk st 866 288 8912 TTY 877 715 6222 or vis email at qnetsupport sdps org Verify Report Portlet This tool is used to verify if a feedback report exists for your organization s TIN or NPI NOTE The TIN or NPI must be the one used by the eligible professional to submit Medicare claims and valid PQRI quality data codes tm ner TIN e g 01 2123234 or 012123234 NPI e g 0121232345 Submission User Manual V2 1 8 PQ
5. CEMS contr for Medicare amp Medicaid Services CMS eXpedited Life Cycle XLC Physician Quality Reporting System PQRS Electronic Prescribing Incentive Program eRx Program Year 2013 Phase 1 Part 2 Submission User Manual Version 2 1 08 08 2013 Document Number N A Contract Number HHSM 500 2007 000171 Task Order HHSM 500 TO002 CMS XLC Disclaimer Disclaimer This information was current at the time it was published or uploaded onto the web Medicare policy changes frequently so links to any source documents have been provided within the document for your reference This document was prepared as a tool to assist eligible professionals and is not intended to grant rights or impose obligations Although every reasonable effort has been made to assure the accuracy of the information within these pages the ultimate responsibility for the correct submission of claims and response to any remittance advice lies with the provider of services The Centers for Medicare amp Medicaid Services CMS employees agents and staff make no representation warranty or guarantee that this compilation of Medicare information is error free and will bear no responsibility or liability for the results or consequences of the use of this guide This publication is a general summary that explains certain aspects of the Medicare program but is not a legal document The official Medicare program provisions are contained in the relevant laws regu
6. F format and can be downloaded or printed as desired The Feedback Reports User Guides help users navigate throughout the Feedback Reports related to their Tax Identification Number organization Click the PQRS Feedback Reports User Submission User Manual V2 1 15 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Troubleshooting amp Support Guide to access the user guides These documents are in PDF format and can be downloaded or printed as desired The PQRS Submission Reports User Guide is designed to help eligible data submission vendors and their authorized users understand the submission reports The PQRS eRx Submission Engine Validation Tool User Guide helps users navigate the automated file verification and data structure application system 5 1 Help Troubleshooting The following are helpful hints and troubleshooting information e For assistance with the PQRS Portal PQRS Submission assistance or IACS registration process that is forgotten ID password resets etc contact the QualityNet Help Desk via phone 866 288 8912 Fax 888 329 7377 Monday Friday 7 00 a m 7 00 p m CT or email at QNet Support qnetsupport sdps org e The security level for the web browser s Internet zone must be set to the equivalent of Medium or lower To locate this setting Open Internet Explorer Click the Tools menu option at the top of the page Select Internet Options from the drop down list Click the Security tab Click Intern
7. Privacy Policy Terms of Use PQRS contains the Site Navigation menu located on the left of the screen The Site Navigation menu contains links Table 1 Table 1 Site Navigation Menu Site Navigation Link Description Log Off Click the link to exit the system Submission Engine Click the link to use a tool to test a selected data file format against Validation Tool the CMS posted data specifications Registry Submission Click the link to submit a Registry XML Production data file s The ability to submit files depends on the user s role authorization eRx Submission Click the link to submit an Electronic Prescribing XML Production data file s The ability to submit files depends on the user s role authorization EHR Direct Submission Click the link to submit an EHR Quality Reporting Document Architecture QRDA Production data file s The ability to submit files depends on the user s role authorization Submission User Manual V2 1 6 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System Site Navigation Link Description EHR Aggregate Click the link to submit an EHR Aggregate XML Production data Submission file s The ability to submit files is dependent on the user s role authorization Maintenance of Click the link to submit a Maintenance of Certification XML Certification Submission Production data file s The ability to submit files is dependent on the
8. RS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System A user login must be established to gain access to the Submission Portlet e For information on requesting an account refer to Section 4 2 Establishing a New User Login ID IACS e For existing account holders who have forgotten their passwords refer to Section 4 3 Retrieving or Resetting a Password to Access the PQRS Submission Portlet e If a secured login has been established continue to Sign In on the PQRS Portal see Section 4 4 If access the PQRS Portlet is still unsuccessful and a user login has been established contact the QualityNet Help Desk qnetsupport sdps org or call 866 288 8912 for assistance 4 2 Establishing a New User Login ID IACS Individuals without an account must apply for a new account to be able to access the PQRS Submission Portlet Go to the PQRS Portal Home Page Directly under the login boxes If you do not have an account please register text appears Click the word Register to be routed to the online IACS application for a new user ID Figure 9 The browser will automatically redirect to CMS IACS New User Registration Figure 9 Guest Announcement Guest Announcement cms Information in the Taxpayer Identification Number Tax ID or TIN level PQRI feedback reports is confidential Your report is safely stored online and accessible only to you and those you authorize through the web Quality Improvement Resources
9. S eRx PY2013 Phase 1 Part 2 CMS XLC Using the System 6 The Select Files and Folders to Upload window appears Figure 15 Users must locate the data file on the drive where it is saved File sizes must adhere to the following parameters XML format file sizes greater than 0 bytes and may not exceed 80 MB 2013 or 2014 EHR Quality Reporting Data Architecture format file greater than 0 bytes and may not exceed 10 MB From the Select files and folders to upload screen choose file s to be submitted or a zip file once you ve finished choosing the applicable files click Select The Upload screen appears Figure 15 Figure 15 Select Files and Folders to Upload Select files and folders to upload Lookin PORI sl 2 ab E Je 1 ml 4 4 2 xml E Recent 3 xml Documents My Documents 95 ES t Files xml KEEN Payment Files xm K File name K N a vm 9 sm A am El Cancel The files selected will appear on the Upload screen Figure 16 Users can perform any My Network Files of type Gem zip of the following actions Click Browse for File s to select more files Click Remove to remove any unnecessary files Verify the correct file s to be submitted was selected and then click Upload Click Cancel to return to the Submission Portlet main screen Submission User Manual V2 1 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System Figure 16 Upl
10. a file size of 0 bytes and or empty file For any system errors while files are uploading User selected files other than ZIP or XML file extensions and file extension validation fails Retry with correct user ID or password was incorrect Refer to the Support section for contact information The selected files should not exceed the upload limit of 80MB The selected files should not exceed the upload limit of 10MB The upload file size should be greater than 0 Re Submit the files or refer to the Support section for contact information The select files with ZIP or XML file extension for upload 5 4 Special Considerations Not applicable 5 5 Support Organization Table 3 Points of Contact Responsibility CMS IT Service Desk CMS Phone Email 410 786 CMS_IT_Service_Desk Help 1 level user 2580 or 1 desk support amp 800 562 support problem 1963 reporting Submission User Manual V2 1 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Acronyms Acronyms This section describes the acronyms used in this document Table 4 Acronyms Literal Translation CMS Centers for Medicare amp Medicaid Services EHR Electronic Health Record eRx Electronic Prescribing IACS Individuals Authorized Access to Centers for Medicare amp Medicaid Services Computer Services PQRS Physician Quality Reporting System QRDA Quality Reporting Data Architecture XML Extensible Markup Langua
11. application TIN level reports should be shared only with others within the practice who have a vested interest in the summarized quality data Sharing of other PQRI participants information is acceptable only if the individual Measure Development EP has authorized the TIN to do so Please ensure that these reports are handled appropriately and disposed rae of properly to avoid a potential Personally Identifiable Information PII exposure or Identity Theft risk Consensus Organizations for Measure Endorsement Approval Communication Support Page Physician and Other Health Care Professionals Quality Reporting Portal Guest Instructions EEA Welcome to the Physician and Other Health Sign In to your Portal Care Professionals Quality Reporting Portal Please click on the Sign In button located in KEE If you do not have an account please register vml nd install R r to view Forgot your password User Guides in scoessible PDF format For assistance with new amp existing IACS accounts review the Quick Reference Guides User Guides Notice If you have not used your IACS account within the past 60 days or more your account has been temporarily disabled as required by the CMS security policy You should have received an e mail at the e mail PQRS eRx SEVT User Guide Z address associated with your IACS account profile instructing you how to get your account re enabled If you PQRS eRx Submission User Guide 2 need furth
12. authorize through the web application TIN level reports should be shared only with others within the practice who have a vested interest in i the summarized quality data Sharing of other PQRI participants information is acceptable only if the individual gt Measure Development EP has authorized the TIN to do so Please ensure that these reports are handled appropriately and disposed of properly to avoid a potential Personally Identifiable Information PII exposure or Identity Theft risk CMS Quality Improvement Resources Consensus Organizations for Measure Endorsement Approval EE Physician and Other Health Care Professionals Quality Reporting Portal Guest Instructions Welcome to the Physician and Other Health ign In to your Portal Care Professionals Quality Reporting Portal Please click on the Sign In button located in the center of the page If you do not have an account please register Dovmload and install Adobe Reader to view Forgot your password User Guides in accessible PDF format For assistance with new amp existing IACS accounts review the Quick Reference Guides User Guides Notice If you have not used your IACS account within the past 60 days or more your account has been PQRS Portal User Guide 4 temporarily disabled as required by the CMS security policy You should have received an e mail at the e mail PQRS eRx SEVT User Guide k address associated with your IACS account profile ins
13. ble 1 Site Navigation Menu iis sige sence speed ca sans ecaeiec dead ee eens pense ges ex thx enesled eet senaye ensue wands nso nnne 6 Mable 2 Gre 17 Table 3 Points 0f Contat EE 17 Bele oer ba ae eTA Comer eer ene pene er ree rem iene re rer ere peng EE 18 Bela SR owm 9 EE 19 Submission User Manual V2 1 jii PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Introduction 1 Introduction This User Manual provides the information necessary to effectively use the Submission Portlet The Submission Portlet allows the secure exchange of data and interoperability between health care systems Eligible Professionals Registries Electronic Health Record EHR Data Submission Vendors Maintenance of Certification Entities and Centers for Medicare amp Medicaid Services CMS as part of the Physician Quality Reporting System PQRS Maintenance of Certification Incentive Program MOCP and Electronic Prescribing Incentive Program eRx This User Manual provides the information necessary for users to effectively use the PQRS Submission Portlet 2 Overview The Physician Quality Reporting System PQRS is a voluntary reporting program that provides an incentive payment to registered eligible professionals who satisfactorily report data on quality measures for covered Physician Fee Schedule PFS services furnished to Medicare Part B beneficiaries in accordance with Section 101 of Division B of the Tax Relief and Health Care Act of 2006 P
14. ee ninrinpa urd andere te eds eect tees eee antec aen 17 5 4 EE EEN 17 E et 810 A cea yao essa se seek ec A T ETT 17 enn ETE E TT 18 GIOSSSLY E 19 Submission User Manual V2 1 il PQRS eRx PY2013 Phase 1 Part 2 CMS XLC List of Figures Referenced Documents sseueubtrsguEukuSSSKENEEERERENEKKKEERSEERAEENEEERNKEVESSAEEREEEKEKENEEEURSRNEEREENENEERNN 21 List of Figures Figure 1 Adobe Acrobat Keyword Search Funchonalty 2 Figure 2 Adobe Acrobat Keyword Search Hesuhte une 3 Figure 3 Internet Explorer Browser d ices en cadet Eet eed 4 Figure 4 Turn Off Pop Up Blocker AAA 5 Figure 5 Physician Quality Reporting System Portal Page 5 Figure 6 Submission Home Page cccjccs nee nicdenieen ieee eee ieee 6 Figure 7 Exiting the Syste M DEE 7 Figure 8 Related Links Screenshot sonnennnneeeeeoeeenennreteeoerrrenrnnrrrseerrennnnntreorrennnnnneeorerreenn nnn 8 Figure 9 Guest Announcement E 9 Figure 10 Individual Authorized Access to the CMS Computer 10 Figure 11 USerAQreSIme i E 11 Figure 12 Annual Attestation Gtaiement kee 11 Figure 13 Registry Submission Portlet sxccsses ccccteccaes orc crtetaaaneeeei cere ai teeeveseceues EZE ER 12 Figure ge EE 12 Figure 15 Select Files and Folders to Upload AAA 13 Figure 16 Upload aloe haces cock aoa heel st ante Ae a te hat teh Non aces 14 PIQUE 17 File UPlO A QUETY eege cls Pate a Ee Eeer 14 Figure 18 Upload E et 15 Figure 19 Submission Confirmation EE E 15 List of Tables Ta
15. er Clinical Nurse Specialist Certified Registered Nurse Anesthetist and Anesthesiologist Assistant Certified Nurse Midwife Clinical Social Worker Clinical Psychologist Registered Dietician Nutrition Professional and Audiologists Physical Therapist Occupational Therapist and Qualified Speech Language Therapist This list can also be found on CMS Website http www cms qgov Maintenance of Certification Incentive Entity Entity refers to a medical specialty board or equivalent organization that has been authorized by CMS to act as a special registry for the submission of Maintenance of Certification Program MOCP Incentive data as well as to administer the MOCP on its behalf National Provider Identifier NPI A unique identification number for covered health care providers Submission User Manual V2 1 19 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Glossary Definition Physician Quality Reporting System PQRS A quality reporting system that includes an incentive payment for eligible professionals who satisfactorily report data on quality measures for covered professional services provided during the specified program year Registry Qualified vendor that are eligible to submit data for professionals Tax Identification Number TIN An identification number used by the Internal Revenue Service in the administration of tax laws Submission User Manual V2 1
16. er assistance please contact the QualityNet Help Desk at 1 866 288 8912 or PQRS eRx Submission Report User Guide qnetsupport sdps org PQRS Portal User Guide Z A PQRS Feedback Report User Guide Notice If you are experiencing difficulties viewing the PQRS Communications Support Page with Internet CT Benort User Guide Explorer 8 0 please ensure that you are using the compatibility view feature by doing the following Open Internet Explorer Select Tools Select Please refer to the Quick Reference Guides for customized instructions for setting up the correct type of secure account The Guides are linked from the Portal Home Page Submission User Manual V2 1 9 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System The Tax Identification Number organization will need to establish a Security Officer The Security Official role sets up the organization and approves roles for other users Members of the Tax Identification Number organization will register as End Users and have the ability to access the feedback reports on the Portal See MLN Article on Organization Registration Solo practitioners who submit under their Social Security Number have not assigned benefits to a Tax Identification Number organization should register in IACS as Individual Practitioners See MLN Article on Individual Practitioner Registration CMS MLN Matters Number Articles Please contact the QualityNet Help Desk qnetsupp
17. et to highlight it in the area at the top where you can select a Web content zone to specify its security settings Click the Custom Level button at the bottom of this box Verify that the Custom Settings field at the bottom of the Security Settings box is set to Medium or lower e Users must have an adequate operating system administrator rights to properly install programs and modify the workstation s registry e The web browser must be set appropriately to enable pop up messages to be displayed from QualityNet org Please contact your Help Desk Staff if assistance is needed 5 2 Additional Software WinZip version 7 0 or greater or compatible zip programs using default compression settings for zip file creation to upload data Submission User Manual V2 1 16 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Troubleshooting amp Support 5 3 Error Messages Table 2 Error Messages Cause of Error Message Corrective Action Error Message Your user ID or password was incorrect The selected files exceed the upload limit of 80MB The selected files exceed the upload limit of 10MB Not allowed to upload empty files SYSTEM ERROR Only ZIP or XML files are allowed for submission User ID or password was incorrect For the Registry eRx MOCP and EHR Aggregate submission types when file size validation fails For the EHR Submission when file size validation fails The user uploads
18. fer to a person who requires and or has acquired access to PQRS This document is an Adobe Acrobat PDF You may use the table of contents to jump to sections in the document You may also use Adobe s built in search functionality to search by a keyword To perform a search 1 From the toolbar select Edit Find keyboard shortcut CTRL F 2 Inthe upper right of the window enter your keyword Figure 1 Adobe Acrobat Keyword Search Functionality Enter your search term in the field that appears and click the arrows tunnun emit mp r ff ep ocuggigmesemer mmaa ptn age ep ge emeng s Bn nr 3 Click the right arrow to move forward through each instance of the keyword click the left arrow to view previous instances within the document Submission User Manual V2 1 2 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Getting Started Figure 2 Adobe Acrobat Keyword Search Results 2 2 Cautions amp Warnings The web browser s pop up blocker may need to be disabled or set to temporarily allow pop up files in order to download the reports described in this manual 3 Getting Started 3 1 Set Up Considerations The minimum hardware and software required to effectively access a Submission Portlet are listed below 3 1 1 Hardware Requirements e 233 MHZ Pentium processor with a minimum of 150 MB free disk space e 64 MB Ram 128MB is recommended 3 1 2 Sof
19. ge Submission User Manual V2 1 18 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Glossary Glossary Table 5 Glossary Definition Data Submission Vendor DSV Data Submission Vendors collect an eligible professional s clinical quality data at least the numerator data directly from the eligible professionals EHR Electronic Health Record EHR Electronic Health Records are electronic records of patient health information gathered and or generated in any care delivery setting This information includes patient demographics progress notes medications vital signs past medical history immunizations laboratory data and radiology reports This provides the ability to pass information from care point to care point providing the ability for quality health management by physicians Electronic Prescribing eRx Electronic Prescribing is a process of entering information about prescriptions at the point of care and sending that information over a secure network to a select pharmacy The pharmacy receives the prescription and can begin filling it right away Eligible Providers Eligible professionals are defined for both PQRS eRx programs as Medicare Physicians Practitioners and Therapists including Doctor of Medicine Doctor of Osteopathy Doctor of Podiatric Medicine Doctor of Optometry Doctor of Oral Surgery Doctor of Dental Medicine Doctor of Chiropractic Physician Assistant Nurse Practition
20. iable Information PI exposure or Identity Theft risk Manage Add ons EEN Physician and Other Health Care Professionals Quality Reporting Portal Compatibility View Settings a Gd to your Portal Subscribe to this Feed If you do not have an account please register Feed Discovery DH Windows Update Forgot your password Developer Tools Fl2 Bnce with new amp existing IACS accounts review the Quick Reference Guides z eve not used your account within the past 60 or more your account Nes Deen temporarily disabled as required OneNote Linked Notes curity policy EE Le te get your account re enabled If you need further assistance please contact the QualityNet Help Desk at 1 866 Send to OneNote SEN Internet Options are experiencing Gifficulties viewing the PORS Communications Support Page with Internet Explorer 8 0 please ensure jing the compatibility view feature by doing the following Open Intemet Explorer Select Tools Select Compatibility View 2012 PORS GPRO Web Interface User Manual E 2012 ACO GPRO Web Interface User Manual S For support please contact the QualityNet Help Desk at 856 288 8912 TTY 877 715 6222 or vis email st gretsupportBsdps org 2012 PORS Feedback Dashboard User Guide Verify Report Portlet This tool is used to verity if a feedback report exists for your organization s TIN or NPI NOTE The TIN or NPI must be the one used by the onal to submit Medicare claims a
21. ission Portlet for the first time an Annual Attestation Statement screen appears Error Reference source not found 5 After reading the Accept Terms text click the box next to Accept the above Terms and Conditions and then click Accept Clicking Decline will end the session Figure 12 Annual Attestation Statement QualityNet Welcome wkrh466 rr WARNING WARNING WARNING Leg off EHR Aggregate Submission Data received from participating providers are true and accurate to the best of their knowedge Lg EHR Direct Submission Maintenance of Certification A date validation plan is in place to ensure the integrity of the measure outcomes submitted Submission Appropriate documentation is on file from participating providers authorizing submission of data to CMS on their behalf in accord with applicable lava regulations and contractual or business associate agreements and confirming that the appropriate number of Medicare beneficiaries are included in the date for the reporting mechanism individual measures or measures groups Submission Engine Validation Tool Submission Reports WARNING WARNING WARNING t accept the above Terms and Conditions 1 Decline j Submission User Manual V2 1 11 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System 4 5 PQRS Submission Portlet Submitting eRx or PQRS Files 1 File s to be uploaded and submitted sho
22. lations and rulings Submission User Manual V2 1 i PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Table of Contents Table of Contents Wer deet Le in DT 1 2 e e wii cecsticisscitsetascctieisieasieiasestieseiensdeaseeadiniacenbivasannsnedasuabiwieneasasaanecbiedeusuaaeueeenaaes 1 2i AGORVEMUOMS eege ee 2 2 2 Gau tions COW ANNO E 3 SECT i ao SAPO sists rea denssceaccntatenrinescusccutatenavesacnacents A E Heaaveleauae 3 3 1 Set Up Considerations vei este Madea eit avid ett nevi eee ad 3 3 1 1 Ee Ee TE EE 3 3 1 2 Software Requirements E 3 3 1 3 Internet eppes ees eee Ree 4 3 1 4 Pop Up Blocker Browser Settings ENNEN 4 3 2 User Access Considerations ic 222yees aon niasetteete ses eke Se eee 5 3 3 System Organization amp Navigation 080 NEE ERUEEREEA NEEN aucceasenccinedisesceedintcueesinehe 6 3A Exiting the Systemsa saan iaat n anaia E Tia a EE iaaa EE Daaa ia iaaa a Daaa Ea 7 A USING E EE 8 rs al MR GI aea E 8 4 2 Establishing a New User Login ID AC 9 4 3 Retrieving Resetting a Password to Access the PQRS Submission Portlet 10 4 4 Logging into the PQRS Submission Portlet ccceceeeeeeeeeeeeeeeeeeeeeeeeeeeees 10 4 5 PQRS Submission Portlet Submitting eRx or PQRS Files n 12 4 6 Exiting HEEN 15 5 Troubleshooting amp Support eebkkENECEKESENREEEKEREEEKEKEAENEARSEEEEEREKENECERSEEREEREEERENEKEEEAREEEN 15 5 1 Helps Troubleshooting ices cescseevsesssenss te eessen 16 5 2 Additional an EE 16 5 3 Gel
23. nd valid PORI quality dats codes E TIN NPL i TIN e g 01 2123234 or 012123234 NPI e g 0121232345 3 Select Pop up Blocker from the Tools drop down menu 4 Select Turn Off Pop up Blocker to disable the Pop up Blocker setting from the browser window Figure 4 Submission User Manual V2 1 4 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Getting Started Figure 4 Turn Off Pop up Blocker File Edit view Favorites Tools Help ol Favorites d Delete Browsing History Ctrl Shift Del Sege InPrivate Browsing Ctrl Shift P G PORI Home Reopen Last Browsing Session InPrivate Filtering Ctrl Shift F InPrivate Filtering Settings Turn Off Pop up Blocker Pop up Blocker Settings SmartScreen Filter D Manage Add ons i Guest Announcement Compatibility view Compatibility view Settings Information in the Taxpayer Ide e e e wem L ae 3 2 User Access Considerations 1 The Submission Report Portlet is available through the PQRS Portal 2 To access Submission Reports click the Sign In button in the center of the page Figure 5 Figure 5 Physician Quality Reporting System Portal Page Qualitynet 4 Related Links Guest Announcement Information in the Taxpayer Identification Number Tax ID or TIN level PQRI feedback reports is confidential Your report is safely stored online and accessible only to you and those you
24. oad Select files and folders and then click Upload Browse for files to submit 3 Click Upload 1 Remove files as necessary before uploading 2 Verify the correct file s to be uploaded 9 If Upload was selected a new window displays which requests the user to confirm or decline the request Click OK to confirm the request or Cancel to decline Figure 17 Figure 17 File Upload Query Select files and folders and then click Upload Browse for files to submit reese File Name File Size Remo 9 xml 2KB 8 xml 2KB 7 xml 2 KB 2 KB Submission User Manual V2 1 14 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Troubleshooting amp Support 10 If OK is selected a progression window appears which displays the upload status Figure 18 Figure 18 Upload Progress Your file is being uploaded please wait File upload is 2 complete Uploading file large_file_test zip 11 After the upload is completed a message confirming the selected files have been submitted appears Figure 19 Figure 19 Submission Confirmation Message from webpage A Files submitted Please check the PORS File Submission e mail For the submission status 4 6 Exiting the System To log off of the PQRS Submission Portlet click Log Off in the left hand Site Navigation screen Figure 7 5 Troubleshooting amp Support The PQRS Portal User Guide helps users navigate throughout the Portal This document is in PD
25. ort sdps org or call 866 288 8912 for assistance with any questions regarding the type of Secure Login account to set up It is also helpful to access the Quick Reference Guides linked from the Portal Home Page 4 3 Retrieving Resetting a Password to Access the PQRS Submission Portlet To retrieve a password for an existing account 1 From the web browser go to QualityNet Portal The home page of the PQRS Portal appears Figure 5 2 Inthe center of the page is the link Forgot your password Click Forgot your password The CMS Account Management displays 4 4 Logging into the PQRS Submission Portlet 1 Once a login is established go to the Home Page of the PQRS Portal 2 Enter your IACS ID and password Click Sign In Figure 10 Figure 10 Individual Authorized Access to the CMS Computer Enter IACS ID and Password then User Name click Sign In Password If you do not have an account please register Forgot your password Submission User Manual V2 1 10 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Using the System 3 Click the check box next to the text accept the above Terms and Condition and click the Accept button Figure 11 Figure 11 User Agreement QualityNet WARNING WARNING WARNING You have accessed a U S Government information system There is no right of privacy on this system All date contained within this system is owmed by the Centers for Medicare
26. the Submission Portlet A list of available links from the PQRS Portal home page is shown in Figure 8 Depending on which user role is assigned to an individual the following actions may be available e Upload and submit PQRS and eRx quality data files e Run and view submission reports or e Access the Submission Engine Validation Tool Figure 8 Related Links Screenshot qualitynet Guest Announcement Information in the Taxpayer Identification Number Tax ID or TIN level PQRI feedback reports is confidential Your report is safely n es eieiei vend nara ones ole ppg eo cts beta ee ee T ee with others within the practice who Nave a vested interest in the summarized quaii ticipants information is acceptable only if the individual EP Nas authorized the TIN to do so A Click Register to appropriately and disposed of property to avoid a potential Personally Identifiable apply for a new G Consensus Organizations for Measure Endorsement Approval Physician and Other Health Care Professionals Ou to your Port Welcome to the Physician and Other Health Care Click if you forgot view customized r Sgn In tes Aaen Se cles Se Se your password If you do not have an account please egister help for Registraion Forgot your password For assistance with new amp existing IACS accounts review the Quick Reference Guides FORS Portal User Guide TE jce If you have not used your IACS account within the past 6
27. tructing you how to get your account re enabled If you PQRS eRx Submission User Guide by need further assistance please contact the QualityNet Help Desk at 1 866 288 8912 or PQRS eRx Submission Report User Guide qnetsupport sdps org PQRS Feedback Report User Guide Notice If you are experiencing difficulties viewing the PQRS Communications Support Page with Internet eRx Feedb Penort User Guide Explorer 8 0 please ensure that you are using the compatibility view feature by doing the following Open Internet Explorer Select Tools Select Submission User Manual V2 1 5 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Getting Started 3 3 System Organization amp Navigation After logging in to the PQRS Portal one or more Submission Portlet appears depending on the role and authorization associated with the Individuals Authorized Access to CMS Computer Services IACS and Quality Role Management System user profile Figure 6 Figure 6 Submission Home Page QualityNet Site Navigation EHR Aggregate Submission Welcome tufd235 Select document s for submission in Production mode EHR Aggregate Submission Select Document s Submission Engine Validation Too Submission Reports JRE Download Instructions Submission requires the Java Runtime Environment JRE version 6 Please download the recommended version of the JRE if your computer does not meet QualityNet Help Desk Accessibility Statement
28. tware Requirements e Microsoft Internet Explorer version 8 0 e Windows XP operating system e WinZip version 7 0 or compatible zip programs using default compression settings for Zip file creation to upload data Submission User Manual V2 1 3 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Getting Started 3 1 3 Internet Connections The Physician Quality Reporting System Submission Portlet will be accessible via any Internet connection running on a minimum of 33 6k or high speed connection 3 1 4 Pop Up Blocker Browser Settings Internet Explorer s Pop up blocker feature must be disabled in order to use the Communication Support Page 1 Open Internet Explorer Browser The Internet Explorer Browser contains a Tools drop down menu where certain settings such as the Turn off Pop up Blocker feature may be enabled 2 Click Tools on the main menu bar located at the top of the browser window Figure 3 Figure 3 Internet Explorer Browser File Edit View Favorites Jari Help EI Favorites e PQRI Hoj off Delete Browsing History Ctrl Shift Del InPrivate Browsing Ctrl Shift P Diagnose Connection Problems Reopen Last Browsing Session i InPrivate Filtering Ctrl Shift F InPrivate Filtering Settings incement 3 authorize Pop up Blocker Wa the practice who Nave a vested interest in the summarized quality date Sharing of ether POR partie SmartScreen Filter gt and disposed of d ial Personally Identif
29. ub Law 109 432 TRHCA PQRS was further extended and enhanced by legislation such as the Medicare Medicaid and SCHIP Act of 2007 Pub Law 110 173 MMSEA Medicare Improvements for Patients and Providers Act of 2008 Pub Law 110 275 MIPPA and the Affordable Care Act of 2010 Pub Law 111 148 The Electronic Prescribing eRx Incentive Program was first implemented in 2009 in accordance with the MIPPA The eRx Incentive Program is a reporting program that uses a combination of incentive payments and payment adjustments to encourage electronic prescribing by eligible professionals The program provides an incentive payment to practices with eligible professionals identified on claims by their individual rendering National Provider Identifier NPI and Tax Identification Number TIN who successfully e prescribe for covered Physician Fee Schedule PFS services furnished to Medicare Part B Fee for Service FFS beneficiaries including Railroad Retirement Board and Medicare Secondary Payer In 2012 the program also applies a payment adjustment to those eligible professionals who are not successful electronic prescribers on their Medicare Part B services This payment adjustment applies to all of the eligible professional s Part B covered professional services under the Medicare Physician Fee Schedule MPFS From 2012 through 2014 the payment adjustment will increase with each new reporting period For 2012 eligible professionals receiving a pa
30. uld be either in XML format or multiple files compressed into a zip file 2 After the user logs in and accepts the Terms and Conditions then the Submission Portlets Registry eRx EHR Direct Maintenance of Certification EHR Aggregate are displayed 3 Select a Submission portlet matching the quality data files submission type Review Table 1 to identify the type a file a specified submission portlet will accept 4 Within the submission portlet click the Select Document s button Figure 13 Figure 13 Registry Submission Portlet oualitynet Site Navigation Registry Submission Welcome eibl275 Select document s for submission in Production mode Select Document s E mg Click Select Document s to submit production data files Submission Engine Validation Tool Submission Reports JRE Download Instructions QualityNet Help Desk Accessibility Statement Privacy Policy Terms of Use 5 The Browse screen appears Click Browse for File s to locate the data file s to be uploaded i e submitted Figure 14 Figure 14 Browse https deccpqrsqa qualitynet org 7openedFromPortlet falsetimulti truetj Elter Upload Tes Select files and folders and then click Upload Brovse for files to submit for File s _ Click Browse for File s to Ss __ locate data file s for upload No files to upload Submission Submission User Manual V2 1 12 PQR
31. yment adjustment will be paid 1 0 less than the MPFS amount for that service In 2013 and 2014 the payment adjustment increases to 1 5 and 2 0 respectively The Maintenance of Certification Program Incentive provides an additional 0 5 incentive payment for eligible professionals who successfully complete the following e Satisfactorily submitting data without regard to method on quality measures under Physician Quality Reporting for a 12 month reporting period either as an individual physician or as a member of a selected group practice e More frequently than is required to qualify for or maintain board certification Participate in a Maintenance of Certification Program Incentive and Submission User Manual V2 1 1 PQRS eRx PY2013 Phase 1 Part 2 CMS XLC Overview Successfully complete a qualified Maintenance of Certification Program Incentive practice assessment The Submission Portlet will accept files with production data from CMS authorized users which comply with the data specifications for an appropriate program year on the CMS web site Visit the PQRS section of the CMS Web Site for the data specifications 2 1 Conventions This document provides screen prints and corresponding narrative to describe how to use the PQRS Portal Fields or buttons to be acted upon are indicated in bold links to be acted upon are indicated as links in underlined blue text The term user is used throughout this document to re
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