Pay for Performance / PQRI_Your non-physician providers can participate too

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the basics of Medicare’s Physician Quality Reporting Initiative (PQRI) for practices with multiple clinicians. It focuses on which provider types are considered eligible professionals and why the topic matters to groups seeking to understand participation at the individual-provider level. The content is aimed at coding, billing, and practice staff who need a broad understanding of PQRI eligibility and reporting structure for the 2009 program year.

Why This Topic Matters

Practices often overlook that participation and reporting are tracked at the individual provider level, which can affect whether bonus opportunities are available across a group. The article is useful for offices that want a high-level understanding of PQRI eligibility for non-physician clinicians without digging into technical reporting details.

What You Will Learn

  • How PQRI participation is organized within a medical practice
  • Which non-physician provider categories may be included as eligible professionals
  • Why individual provider participation matters for a group practice
  • How the 2009 PQRI context applies to practice participation planning

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Compliance staff
  • Quality reporting staff

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