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Medicare Releases Final Quality Initiative Details
The Centers for Medicare & Medicaid Services (CMS) this week released the final specifications for its Physicians Quality Reporting Initiative (PQRI), which starts July 1. The specifications contain descriptions and clinical recommendation statements for each of the 74 performance measures and include instructions on how to code each measure’s numerator and denominator. PQRI establishes financial incentives – bonus payments of 1.5 percent of total allowed charges for covered Medicare physician services – for physicians who participate in this voluntary program. The current reporting period is for claims with dates of service from July 1 through December 31. Claims must be received on or before February 29, 2008, to be included in the bonus payment calculation. CMS has designated “G8300” as a test code for physicians who want to test their PQRI readiness. Physicians should also be aware that you must have an NPI to participate in the program. You will need to need to provide your NPI in the “Rendering Provider” field on the claim form. If you have not yet gotten your NPI, click here for more information. Contact: Sandra Bressler, 415/882-5171 or sbressler@cmanet.org.
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