2010-05-25
The Physician Quality
Reporting Initiative (PQRI) provides a financial incentive for eligible professionals
to participate in a voluntary quality reporting program. Eligible professionals
who successfully report a designated set of quality measures may earn a bonus
payment, subject to a cap, of 2.0 percent of total allowed charges for covered
Medicare physician fee schedule services. The
2010 PQRI
reporting period begins July 1, 2010. PQRI has two reporting periods: 12 months (January 1 - December
31, 2010) and 6 months (July 1 - December 31, 2010).
To
report PQRI data for July 1 - December 31, 2010, there are two options for
hematology measures:
- Claims-based reporting of individual measures for 80 percent or more of
applicable patients on at least three individual measures
- Registry-based reporting of at least three individual PQRI measures for 80 percent
or more of applicable Medicare Part B Fee-For-Service patients of each eligible professional
Eligible professionals do not need
to sign up or pre-register to participate in the 2010 PQRI. Submission of
quality-data codes for individual PQRI measures to the Centers for Medicare and Medicaid Services (CMS) through a
qualified registry or through claims will indicate intent to participate.
The ASH website provides information about the program and hematology-related measures. The CMS website
provides additional information about PQRI reporting.
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