eRx Communication Support Page User Manual
Contents
1. Phase 4 0 V2 1 01 30 12 il Physician Quality Reporting System LIST OF FIGURES Figure 3 1 Accessing Internet Options Tools dropdown menu ococnconoccnononcconnconanonanononononncnnnons 4 Figure 3 2 Internet Options General Tablada idad 5 Figure 3 3 Internet Options Security Tab herida dadas 6 Fig re 34 Security Setting a 7 Figure 4 1 Accessing the Communication Support Page ooooonoccnoconocccincconncnonoconaconncnnncconnccnnccnnos 9 Figure 4 2 Communication Support Page ii a di ida 10 Figure 5 1 Required User and Contact Information 0 cc ceceeseeceeseceseceeeceeeeseeeeeeeeeseenaeeneeess 12 Figure 5 2 Select Program Year for selection Of reports 0 0 cee eseeeceeeceteceeeeeeeeseeeeeeeeeseenseeaeeees 12 Pree 925 o lu al a Ss 12 Figure 5 4 Request Hardship Exemption scqs1csasessssvecantayseinn sndexdasaecdansdanvateghawvecastanvanveauactaasdaoenes 13 Figure 5 5 Accept ser Agreements os 14 Figure 6 1 Required Field Error Ms ad 15 Figure 6 2 Hardship Exemption Submission Alert MessSag6 ooooconcnoncnoconoccnonconanononnccnnacononanonos 15 LIST OF TABLES Vable 621 Poms of Comtat a LO ESA 16 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 111 Physician Quality Reporting System 1 INTRODUCTION CMS anticipates a high volume of inquiries regarding the 2012 Electronic Prescribing Payment Adjustment Therefor2. Report Request Process can be used by all EPs who _ Verify Report Portlet participated in PQRI for whom a feedback report is available This process does not require an IACS user ID and password The EP TIN and NPI can call their respective Carrier and A B MAC Provider Contact This tool is used to verify if a feedback report Center to request an individual NPI level feedback report Additional information about the PQRI Alternative exists for your organization s TIN or NPI Feedback Report Request Process can be found by accessing special edition Medicare Learning Network MLN article SE0922 tive Process for Individual El Professionals to Access Physician NOTE The TIN or NPI must be the one used by Quality Reporting Initiative PQRI and Electronic Prescribing E Prescribing Feedback Reports Visit the eligible professional to submit Medicare http www cms bhs gov MLNMatters Articles downloads SE0922 pdf on the CMS website The TIN will claims and valid PQRI quality data codes not receive an aggregate report that indudes all of the NPIs who have designated their billings under a TIN This aggregated TIN level feedback report must be retrieved from the PQRI Portal which requires an IACS O tin O ner user 10 and password if ll Look l 4 4 System Organization amp Navigation 1 From the Accessing the Communication Support Page Related Links menu screen click Communication Support Page The Communication Support Pag
3. of other PQRI participants information is Measure Development cce only if the individual EP has authorized the TIN to do so Please ensure that these reports are propriately and disposed of properly to avoid a potential Personally Identifiable Information Consensus Organizations for Measure PII exposure or Identity Theft risk Endorsernent Approval Communication Support Page Physician and Other Health Care Professionals Quality Reporting Portal Welcome to the Physician and Other Health Care Professionals Quality Reporting Portal Please click on the Sign In button located in the Sign In to your Portal center of the page If you do not have an account please register F rd orgot your passwo PQRI Portal User Guide FE A PQRI RX SEVT User Guide E For assistance with new amp existing LACS accounts review the Quick Reference Guides PQRI ARx Submission User Guide a 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 PQRYeRx Submission Report User Guide a e mail address associated with your IACS account profile instructing you how to get your account 2009 PQRI Feedback Report User Guide 2009 eRx Feedback Report User Guide etal need further assistance please contact the EUS Help Desk at 1 866 484 8049 or TTY f The new PQRI Alternative Feedback
4. on a minimum 33 6 modem or high speed connection 4 2 User Access Considerations The Communication Support Page shall be available to individual eligible professionals as identified by their Tax Identification Number TIN National Provider Identifier NPI who are enrolled in the Provider Enrollment Chain Ownership System PECOS The Communication Support Page does not require users to e Have an active Individuals Authorized Access to CMS Computer Services IACS account or be able to use multi factor authentication e Create a Physician Quality Reporting System account 4 3 Accessing the System The Related Links section of the Physician Quality Reporting System Portal login screen provides access to the Communication Support Page through a link labeled Communication Support Page See Figure 4 1 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 8 Physician Ouality Reporting System Figure 4 1 Accessing the Communication Support Page 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 authorize Quality Improvement Resources eb application TIN level reports should be shared only with others within the practice who ed interest in the summarized quality data Sharing
5. 4 Physician Quality Reporting System Figure 3 2 Internet Options General Tab 4 From the Internet Options General tab screen click the Security tab see above The Internet Options Security tab screen is displayed See Figure 3 3 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 Physician Quality Reporting System Figure 3 3 Internet Options Security tab Internet Options General Security Privacy Content Connections Programs Advanced Select a Web content zone to specify its security settings al intranet Trusted sites Restricted sites 3 This zone contains all Web sites you haven t placed in other zones m Security level for this zone Custom Custom settings To change the settings click Custom Level To use the recommended settings click Default Level Custom Level Default Level 5 From the Internet Options Security tab screen click the Internet icon see above 6 While still in the Security tab click Custom Level The Security Settings screen is displayed See Figure 3 4 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 6 Physician Quality Reporting System Figure 3 4 Security Settings Security Settings Settings
6. CENTERS for MEDICARE amp MEDICAID SERVICES SERVICES y gt s Us S Sy gt E lt E a i e Y h Ye Avaza Physician Quality Reporting System and Electronic Incentive Program Communication Support Page User Manual Program Year 2011 Phase 4 0 Last Modified January 30 2012 Physician Quality Reporting System 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 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 regulations and rulings Physician Quality
7. Prescribing Payment Adjustment Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 12 Physician Quality Reporting System 1 Click the button next to one of the following reasons See Figure 5 4 registered to participate in the Medicare or Medicaid Electronic Health Record EHR Incentive Programs for 2011 and have adopted Certified Electronic Health Record technology If choosing this reason you must also enter your Registration ID and CMS EHR Certification ID The CMS EHR Certification ID is a 15 digit alphanumeric value Ihave an inability to electronically prescribe due to local State or Federal law or regulation Ihave limited prescribing activity Thad insufficient opportunities to report the electronic prescribing measure practice in a rural area without sufficient high speed internet access practice in an area without sufficient available pharmacies for electronic prescribing 2 In the Justification for Hardship Exemption box type an explanation justifying your request for exemption See Figure 5 4 This field becomes required if you click any of the buttons in Section 5 3 Step 1 This field is limited to 250 words or 1 000 characters Figure 5 4 Request Hardship Exemption Request Hardship Exemptiom select one AND complete Justification for Hardship Exemption O I registered to part
8. Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 1 Physician Quality Reporting System TABLE OF CONTENTS Bo OVERVIEW A TO Sli Conventions A A A Daz 3 SZ gt Cautions Se Warnings tds 3 4 GETTING STARTED AN CT AL Set Up Considerations a tt 8 4 1 1 HAT WI a leek eam linia incio 8 4 1 2 OPE WANE noaei A A aa 8 4 1 3 Internet Connection tit at dae EEE ER E ON 8 AD User Access Considerations aiieieo eae aaa sia 8 AL Accessing the Si ds 8 4 4 System Organization amp NVI ias 9 AS Exiting th O Starter a a e a e 10 5 1 Enter User and Contact Information ss sessesessesseesessesetsesseseestssessessestesessesesesseenessesee 11 5 2 Request National Provider Identifier Level Reports oooonocnnccnncnnncnonnococoncocnconcnnncnncnnnos 12 5 3 Request Hardship EXPO A A eat beast 12 54 Accept Us r AO Ree ICING ss csi shes oe ce chaste Svcs E E a Stans RRR EANG 14 6 TROUBLESHOOTING amp SUPPORT ccccccccscscscssssssssccccccecscecececscscssecscssecesssscosssssssssssssssessssseees LO 6l Error Messages asas 15 6 2 Special Considera A E a a aa a EE a a A 15 6 33 MU e a e R AN 16 APPENDIX A ACRONYMS siieus sccuseskschsasieassouesesebvcnescussgosesebs oickssieseodesbydusvensosesssebsduescctnssbecsbecwsscaseg Ll Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual
9. Scripting 2 Active scripting O Disable O Enable O Prompt 3 Allow paste operations via script O Disable O Enable O Prompt 3 Scripting of Java applets O Disable O Enable g O Prompt User Authentication piia of gt Reset custom settings Reset to Medium Reset aa 7 On the Security Settings screen scroll down to Active scripting see above 8 Immediately beneath Active scripting click Enable 9 Next click OK The following prompt is displayed Are you sure you want to change the settings for this zone 10 In response to that prompt click Yes The Internet Options Security tab screen is displayed See Figure 3 3 11 From the Internet Options Security tab screen click OK Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 7 Physician Quality Reporting System 4 GETTING STARTED 4 1 Set Up Considerations Minimum hardware and software requirements to effectively access and view the Communication Support Page are listed below 4 1 1 Hardware e 166 MHZ Pentium processor with a minimum of 125 MB free disk space e 32 MB Ram 4 1 2 Software Microsoft Internet Explorer Version 6 0 or 7 0 and 8 0 in compatibility mode Screen resolution 1024 X 768 4 1 3 Internet Connection The Communication Support Page will be accessible via any Internet connection running
10. e a Communication Support Page is being made available through which eligible professionals can request the following e National Provider Identifier NPI level reports regarding their reporting and clinical performance rates e A hardship exemption pertaining to the 2012 Electronic Prescribing Payment Adjustment The stakeholders and audience for this document consist of the CMS staff Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 1 Physician Quality Reporting System 2 REFERENCED DOCUMENTS N A Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 2 Physician Ouality Reporting System 3 OVERVIEW Because of the anticipated high volume of inquiries regarding the 2012 Electronic Prescribing Payment Adjustment a Communication Support Page will be provided to enable individual eligible professionals to request Physician Quality Reporting System Electronic Prescribing reports or a hardship exemption from participating in 2012 electronic prescribing The Communication Support Page is available through the Physician and Health Care Professionals Quality Reporting Portal http www qualitynet org pqrs The page features an online form through which eligible professionals will enter identifying information the nature of their request a
11. e is displayed See Figure 4 2 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 9 Physician Quality Reporting System Figure 4 2 Communication Support Page it of Health amp Human Services E www hhs gov Centers for Medicare amp Medicaid Services Communication Support Page User Information Lega Business Name as ewolled in PECOS t a at me daros oe Stat Phane de E Requestor Relations Request NPI Level Reports Program Year 2011 Reports ogres Feedback Report 112017 Rx Payment Adjustment Feedback Report ex Feedback Report User Agreement T do hereby attest that this information is true accurate and complete to the best of my knowedge I understand that any falsification omission or concealment of acy material fect may subject me to administrativo cri or criminal lability I accept User Agreement Submit Reset 2 Enter data in the form After entering data in the form To clear data from the form and restart click Reset To submit the completed form click Submit For specific information on how to complete each section of the form refer to Section 5 Using the System 4 5 Exiting the System After you click Submit at the bottom of the Communication Support Page form a successful submission will trigger a new page to appear with the following confirmat
12. en Filter Manage Add ons Compatibility View Compatibility view Settings payer Identification Number Tax ID or TIN level PQRI feedback reports is confidential ored online and accessible only to you and those you authorize through the web Quality Imprq WOscribe to this Feed reports should be shared only with others within the practice who have a vested interest in Feed Discover ity data Sharing of other PQRI participants information is acceptable only if the individual Measure Deve AN TIN to do so Please ensure that these reports are handled appropriately and disposed Windows Update potential Personally Identifiable Information PII exposure or Identity Theft risk CMS Consensus O Measure Endd Developer Tools Communicati Windows Messenger jan and Other Health Care Professionals Quality Reporting Portal m Diagnose Connection Problems Guest Insti s _ __ ry Welco Internet Options Sign In to your Portal Care Professi verty po gPortar Please click on the Sign In button located in the center of the page If you do not have an account please register 3 From the Accessing Internet Options Tools drop down menu screen above select Internet Options The Internet Options General Tab screen is displayed See Figure 3 2 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12
13. gram Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 11 Physician Quality Reporting System Figure 5 1 Required User and Contact Information Legal Business Name as enrolled in PECOS TIN Last 4 digits NPI Email Contact Information Requestor D Confirm Email First Name Last Name Address 1 Address 2 State Zip Code Requestor Relationship 5 2 Request National Provider Identifier Level Reports To request a feedback report 1 From the Program Year dropdown box select the appropriate program year The Program Year displays an empty value by default Once you have selected the program year the available reports for that year will be enabled for selection See Figure 5 2 Figure 5 2 Select Program Year for selection of reports Request NPI Level Reports Reports Program Year v E aS 2011 2010 2009 2008 2 Click the checkbox next to one or more of the reports you wish to generate See Figure 5 3 Figure 5 3 Select Reports Request NPI Level Reports Program Year 2011 v RIE O PQRS Feedback Report O 2013 eRx Payment Adjustment Feedback Report dl eRx Feedback Report Once the form is submitted a confirmation email will be generated and delivered to the email address entered in the User Information section of the form See Figure 5 1 5 3 Request Hardship Exemption To request a hardship exemption from the 2012 Electronic
14. ian Quality Reporting System 6 3 Support Table 6 1 Points of Contact Contact Organization Phone Email Role Responsibility Mail to 1 level user QualityNet E QNet Support Help desk support amp Help Desk PES la qnetsupport support problem sdps org reporting Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 16 Physician Quality Reporting System APPENDIX A ACRONYMS This section describes the acronyms used in this document Acronym EHR eRx CMS IACS NPI PECOS TIN Description Electronic Health Record Electronic Health Record Centers for Medicare amp Medicaid Services Individuals Authorized Access to CMS Computer Services National Provider Identifier Provider Enrollment Chain Ownership System Tax Identification Number Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 17 Physician Quality Reporting System GLOSSARY Electronic Prescribing 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 Professionals Eligible professionals are defined for both Ph
15. icipate in the Medicare or Medicaid EHR Incentive Programs for 2011 and have adopted Certified EHR technology Registration ID CMS EHR Certification ID O I have an inability to electronically prescribe due to local State or Federal law or regulation wS O I have limited prescribing activity O I had insufficient opportunities to report the electronic prescribing measure O I practice in a rural area vithout sufficient high speed internet access O I practice in an area without sufficient available pharmacies for electronic prescribing aximum of 250 words or 1 000 characters E for Hardship Exemption required if submitting a hardship exemption A Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 13 Physician Quality Reporting System 5 4 Accept User Agreement Figure 5 5 Accept User Agreement User Agreement do hereby attest that this information is true accurate and complete to the best of my knowledge understand that any falsification omission or concealment of any material fact may subject me to administrative civil or criminal liability Mv Laccept User Agreement 1 Regardless of the type of request you are submitting you must check the box next to the I accept User Agreement statement See Figure 5 5 2 Once you have checked the aforementioned box click Submit Physician Qual
16. ion message Thank you for submitting a request A confirmation has been sent to the email address provided lt inquirer s e mail address gt Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 10 Physician Quality Reporting System 5 USING THE SYSTEM The fields on the Communication Support Page form are grouped into four main sections as follows Requestor Information which includes User Information and Contact Information NPI Level Report Request Hardship Exemption Request which includes the Hardship Exemption Justification User Agreement Following is detailed information on how to respond to the questions in each of those sections to request a report or submit an exemption request 5 1 Enter User and Contact Information You must complete the following User Information and Contact Information fields regardless of the type of request you are submitting Legal Business Name as enrolled in the Provider Enrollment Chain Ownership System PECOS Last four digits of your TIN NPI Email address You must enter your email address in both the Email and Confirm Email fields First name Last name Address 1 City State Phone Zip code Requestor Relationship On the screen these fields are marked with an asterisk See Figure 5 1 Physician Quality Reporting System Electronic Prescribing Incentive Pro
17. ity Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 14 Physician Ouality Reporting System 6 TROUBLESHOOTING amp SUPPORT For additional information about submitting requests click Help in the lower right corner of the Communication Support Page screen See Figure 4 2 6 1 Error Messages Using a tab key or a mouse click from a field that is not populated or does not meet the required criteria will trigger pop up error messages For example the following pop up error message will appear when NPI field is not populated Figure 6 1 Required Field Error Message Windows Internet Explorer E A NPI is a required field If all required fields have not been completed once you click Submit error messages are displayed directing you to correct or enter missing information If you enter the Communication Support Page after the hardship exemption submission period has ended the following Hardship Exemption Submission Alert Message is displayed See Figure 6 2 Figure 6 2 Hardship Exemption Submission Alert Message Message from webpage A ALERT HARDSHIP EXEMPTION SUBMISSION PERIOD HAS ENDED REQUESTS ARE NOT BEING ACCEPTED 6 2 Special Considerations This section is to be developed Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 15 Physic
18. nd their acceptance of an attestation statement that the data they have entered is accurate 3 1 Conventions This document provides screen prints and corresponding narrative to describe how to use the Communication Support Page In this document e Fields or buttons to be acted upon are indicated in bold italics e The term user refers to a person who requires and or has acquired access to the Communication Support Page On screens in the system an asterisk indicates fields that must be completed 3 2 Cautions amp Warnings Microsoft Internet Explorer 5 or Later for Windows must have JavaScript enabled to access the Communication Support Page See directions below 1 Open Internet Explorer 2 Click the Tools dropdown menu See Figure 3 1 Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 3 Physician Quality Reporting System Figure 3 1 Accessing Internet Options Tools dropdown menu PQRI Home Windows Internet Explorer N Go 2 https vww qualitynet org portal serverpt community pari_home 21 Fie Edit View Fave Help OR y Favorites EN A Delete Browsing History Ctrl Shift Del te Browsing Ctrl Shift P SPORT Home Reopen Last Browsing Session A A amp me Pager Safety Tools v Q InPrivate Filtering Ctrl Shift F InPrivate Filtering Settings Pop up Blocker SmartScre
19. quality measures for covered professional services provided during the specified program year receive an incentive payment Tax Identification Number TIN An identification number used by the Internal Revenue Service in the administration of tax laws Physician Quality Reporting System Electronic Prescribing Incentive Program Communication Support Page User Manual Phase 4 0 V2 1 01 30 12 18
20. ysician Quality Reporting System and Electronic Prescribing Incentive Program 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 Practitioner Clinical Nurse Specialist Certified Registered Nurse Anesthetist and Anesthesiologist Assistant Certified Nurse Midwife Clinical Social Worker Clinical Psychologist Registered Dietician Nutrition Professional and Audiologists as of 1 1 2009 Physical Therapist Occupational Therapist and Qualified Speech Language Therapist as of 7 1 2009 Eligible professionals are defined for Electronic Prescribing Incentive Payment Adjustment as Doctor of Medicine Doctor of Osteopathy Podiatrist Nurse Practitioner and Physician Assistant To read more refer to Eligible Professionals https www cms gov PQRS Downloads Eligible Professionals03 08 2011 pdf Feedback Reports Confidential reports available to TIN eligible professionals regarding their reporting and clinical performance rates National Provider Identifier NPI A unique identification number for covered health care providers Physician Quality Reporting System The quality reporting system that supports the Physician Quality Reporting System Through the initiative eligible providers who satisfactorily report data on
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