AMA Clinical Examples in Radiology - 2007 Issue 2 (Spring)
Eligible Professionals May Earn Bonus Payment from Medicare
Eligible Professionals May Earn Bonus Payment from Medicare If you have not already done so, be sure to check the Centers for Medicare and Medicaid Services (CMS) Web site at http://www.cms.hhs.gov/pqri/ and the ACR Web site at www.acr.org to learn more about the Physician Quality Reporting Initiative (PQRI). With the passage of the Tax Relief and Health Care Act of 2006, the "pay-for-reporting" program, known as the "Physician Quality Reporting Initiative" (PQRI) was enacted. This voluntary program will pay physicians and other eligible providers up to 1.5 percent of their total allowable Medicare...
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Article Overview
This article covers Medicare’s Physician Quality Reporting Initiative (PQRI), a voluntary pay-for-reporting program introduced under the Tax Relief and Health Care Act of 2006. It outlines the general program purpose, who may participate, how reporting volume affects eligibility for the bonus, and the categories of quality measures relevant to radiologists and radiation oncologists. The article is useful for physicians, coding staff, and practice administrators who need a high-level understanding of the 2007 PQRI reporting environment and where CMS and ACR guidance can be found.
Why This Topic Matters
PQRI participation could affect Medicare reimbursement for eligible professionals, so practices needed timely awareness of reporting requirements, applicable measure categories, and where to find official guidance.
What You Will Learn
- How the Medicare PQRI program was introduced and what it was intended to support
- Which broad provider groups were discussed as potential participants
- What types of quality-measure reporting were highlighted for radiology and radiation oncology
- Where CMS and ACR guidance and updates were directed
- Why reporting volume and eligible-patient thresholds mattered for program participation
Who Should Read This
- Radiologists
- Radiation oncologists
- Physician practice administrators
- Medical coders and billers
- Quality reporting staff
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