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Financial Incentive for Physician Quality with PQRI

On December 20, 2006 the President signed the Tax Relief and Health Care Act of 2006 (TRHCA). Section 101 under Title I authorizes the establishment of a physician quality reporting system by CMS. CMS has titled the statutory program the Physician Quality Reporting Initiative (PQRI). PQRI establishes 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 on claims for dates of service from July 1 to December 31, 2007, may earn a bonus payment, subject to a cap, of 1.5% of total allowed charges for covered Medicare physician fee schedule services.

CMS has posted information on how to test your billing system and practice readiness for PQRI quality data code reporting. Go to the Reporting page of this section for more information and for the 2007 PQRI Testing Opportunity form.

 
September 23, 2011

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