CAHPS® for Physician Quality Reporting System (PQRS) Survey Discrepancy Report
Discrepancy Report Process
On occasion, a survey vendor may identify discrepancies from CAHPS for PQRS Survey protocols that require corrections to procedures and/or electronic processing to realign the activity to comply with CAHPS for PQRS Survey protocols. In its oversight role, the CAHPS for PQRS Survey project team may also identify discrepancies that require correction.
- Survey vendors are required to complete and submit an initial Discrepancy Report to formally notify CMS within one business day after the discrepancy has been discovered.
- The discrepancy report notifies the CAHPS for PQRS Survey project team of the nature, timing, cause, and extent of the discrepancy, as well as the proposed correction and timeline to correct the discrepancy.
- The survey vendor must include the Group ID number on the form.
Complete the Discrepancy Report in its entirety. You must submit this report online using the form provided below.
All required sections are indicated with an asterisk (*). The required information regarding the affected group practices must be provided in Section II and III in order to submit the CAHPS for PQRS Survey Discrepancy Report. If any information is unknown at time of report submission, enter “Pending” in any of the required fields in Section II and/or III. All pending information must be provided in an updated report within 7 days of submitting the Initial Discrepancy Report.