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January 25, 2018

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Medical Coding News Archives

CMS Releases PQRI Measures for 2008

November 13, 2007:
The Physician Quality Reporting Initiative (PQRI) measures for 2008 include an increased number of measures, as well as guidelines for reporting technology enhancements.

The measures were included as part of the physician fee schedule final rule the Centers for Medicare and Medicaid (CMS) released on November 1. They focus on whether a health care professional uses electronic health records and/or electronic prescribing. Physician and nonphysician professionals not meeting PQRI measures will be allowed to participate by reporting on their use of health information technology.

The Physician Assistance and Quality Initiative Fund from which PQRI incentive payments are made provides $1.35 billion for physician payment and quality improvement initiatives for services furnished in 2008. However, many physician advocates are lobbying that this fund be used to negate the more than 10 percent payment reduction providers are facing for next year.

As directed by the Tax Relief and Health Care Act of 2006, CMS implemented a voluntary reporting program for 2007 for physicians and other health care practitioners. Since July 1, 2007, eligible professionals who report specific measures on quality of care furnished to Medicare patients may earn incentive bonuses up to 1.5 percent of their total allowed charges, subject to a cap.

The measures identified in the rule include those that were endorsed by the National Quality Forum and other sources completing development for upcoming PQRI implementation.

Deborah C. Hall
Clinical/Technical Editor


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