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Physician Quality Reporting Initiative to Begin July 1
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Endocrine Insider Implementation of the voluntary Medicare Physician Quality Reporting Initiative (PQRI) is slated to begin on July 1. The program, managed by the Center for Medicare and Medicaid Services (CMS), allows providers to earn up to a 1.5 percent bonus for reporting quality measures. There are 74 measures, previously released by CMS, included in this year’s program. If not already determined, participating providers should decide which measures they plan to report to CMS when the program begins. In order to earn the 1.5 percent bonus, providers have to report quality codes for at least 80 percent of the cases in which a quality measure can be applied. Providers should report on at least three quality measures if there are three or more measures that relate to the provider’s area of practice. For providers with less than three applicable measures, all relevant quality measures should be reported. To reduce the risk of reporting errors, participating providers should test report their CPT II or G codes for the measures they plan to use before the program begins. Quality measures most likely to be used by endocrinologists include three measures for diabetes and five measures for osteoporosis. Individual clinicians may find that additional measures are also applicable. Diabetes measures include:
Osteoporosis measures include:
A list of all 74 quality measures can be found on CMS’ website at: http://www.cms.hhs.gov/apps/ama/license.asp? Additional educational resources, including detailed information on how to accurately report each measure, can be found at: http://www.cms.hhs.gov/PQRI/30_EducationalResources.asp#TopOfPage
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