decisionhealth Newsletters, Answer Books - 2009 Issue 5 (May)
Physician Quality Reporting Initiative / Overview
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Article Overview
This article explains the Physician Quality Reporting Initiative (PQRI) as a Medicare quality reporting program for physicians and other eligible professionals. It covers the program’s origins in federal legislation, its permanence under later legislation, and the broad participation and reporting concepts that make it relevant to clinicians, coding staff, and practice administrators working with Medicare quality measures.
Why This Topic Matters
PQRI-related guidance helps practices understand the context of Medicare quality reporting and why participation may affect incentive payments. The article is useful for readers who need a high-level orientation to the program before reviewing more detailed reporting guidance.
What You Will Learn
- How the Physician Quality Reporting Initiative fits into Medicare quality reporting
- The legislative background behind the program
- Who the program is intended to involve
- The general purpose of reporting quality measures for Medicare-covered services
Who Should Read This
- Physicians
- Other eligible professionals
- Medical coders
- Billing staff
- Practice administrators
- Compliance staff
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