Optum360 coding books logo
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018

Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More

Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More

OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More

View Article Archive

To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:

Medical Coding News Archives

CMS Announces PQRI Payout

August 12, 2008:
The Centers for Medicare & Medicaid Services (CMS) has announced that more than $36 million in bonus payments has been made to providers who met the reporting criteria for participating in the 2007 Physician Quality Reporting Initiative (PQRI).

Over 56,700 eligible professionals participated in the PQRI program and those meeting the reporting threshold should receive their payments by August 2008. The agency indicates that the average incentive amount for individual professionals is over $600 and that the average incentive payment for a physician group practice is over $4,700. The largest bonus payment went to a physician group practice and totaled over $205,700.

The PQRI is a voluntary program and, by satisfactorily submitting quality information for services they furnish between July and December of 2007, providers are eligible to receive a 1.5 percent incentive bonus. Of the more than 109,000 professionals who participated in 2007, over 56,700 met statutory requirements for satisfactory reporting. Providers in Florida and Illinois are receiving the highest incentive payments for the 2007 reporting period with a total payout of over $3 million in Florida and over $2 million in Illinois.

In 2008 the PQRI program grew to include 119 quality measures and multiple reporting periods, methods and thresholds. The incentive bonus remains at 1.5 percent for providers meeting the reporting criteria in 2008. The program is set to expand further in 2009 with more reporting measures and possible payment increases.

Deborah C. Hall
Clinical Technical Editor


Sign in to
Your Account
Forgot your username?
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:

What is this?

Code This!

Test your coding knowledge!