EHealth Made Easy | About PQRI

About PQRI The Physician’s Quality Reporting Initiative (PQRI) for Medicare Part B FFS patients provides 2% bonuses in 2010 on all Part B FFS revenues. An additional 2% bonus can be earned by utilization of our eRX system. Most importantly, Quality Reporting is one of the keys to the treasure chest of $50 billion dollars of IT entitlements provided by the ARRA/HiTech Act. Pursuant to the Act, eligible providers can receive between $48,000 and $65,000 if they use a certified EHR system in a “meaningful” way. Of special note, the provider can retain the difference between what they receive and what they actually spend! There are 175 individual PQRI quality measures however, 18 of the measures can only be reported through a Registry. An eligible health care provider can choose to report on individual measures or a Measure Group. For each PQRI measure, the answer is, “Yes, I performed the measure,” or “No, I did not,” for either a “medical reason” or an “unspecified reason.” An eligible healthcare provider (HCP) should report on as many measure groups or individual measures as are applicable to one’s medical practice. The PQRI bonuses are based upon minimally reporting on 1 measure group or 3 individual measures* The threshold for successful patient reporting is based on either reporting on 30 non-consecutive patients** or on 80% of all Medicare Part B FFS patients. *For certain medical specialties only 1 or 2 measures may apply, yet these specialists can still earn the bonus. More than 30 medical associations have endorsed specific PQRI quality measures or measure groups. **Uniquely, if Registry reporting for a Measure Group is selected, then only 2 of the 30 non-consecutive patients must be Medicare Part B FFS. Registry Reporting: Registry reporting is a simple process; no PQRI information is submitted on the 1500 Claim Form. eHealth Made EASY LLC will submit all your Registry PQRI data to Medicare after December 31, 2010. A healthcare provider must choose whether to report on 30 consecutive Part B FFS patients seen between July 1 and December 31, 2010 or on 80 percent of the Medicare Part B FFS in the same time period. If a healthcare provider chooses to report using a Registry Measure Group, the 2 percent bonus is retroactive to January 1, 2010. Alternatively, an eligible healthcare provider can choose to report on 3 or more individual measures but the 2 percent bonus payment period begins July 1, 2010. The Developers of the Quality Measures Are: *These Quality Measures have been endorsed by more than 30 Medical Associations. • AMA-PCPI American Medical Association-sponsored Physician Consortium on Performance Improvement email questions and comments to the PCPI at cpe@ama-assn.org. • APMA American Podiatric Medical Association email questions and comments at http://www.apma.org/s_apma/secmember.asp?CID=421&DID=17174 • ASTRO American Society for Therapeutic Radiology and Oncology www.astro.org and click on “Contact Us” • ASH American Society of Hematology email questions and comments to ash@hematology.org • ASCO American Society of Clinical Oncology www.asco.org and click on “Contact Us” • CAP College of American Pathologists e-mail questions and comments at www.cap.org • CMS Centers for Medicare & Medicaid Services email questions and comments to PQRIFAQS@cms.hhs.gov • CMS/QIP Quality Insights of Pennsylvania email questions and comments at PQRIFAQS@cms.hhs.gov • NCCN National Comprehensive Cancer Network http://www.nccn.org/about/contact.asp • NCQA National Commission for Quality Assurance www.ncqa.org and click on “Contact Us” • STS Society of Thoracic Surgeons email questions and comments to sts@sts.org • SVS Society of Vascular Surgeons e-mail questions and comments at www.vascularweb.org Get Adobe Flash player