decisionhealth Newsletters, Answer Books - 2009 Issue 10 (October)
Physician Quality Reporting Initiative / Submitting PQRI Information to CMS
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Article Overview
This article explains the Physician Quality Reporting Initiative (PQRI) at a high level and summarizes CMS guidance for submitting quality information for 2009. It is aimed at clinicians, practice staff, and coding professionals who need to understand the reporting framework, the types of measures involved, and the role of CPT, HCPCS, and ICD-9-CM codes in CMS measure specifications.
Why This Topic Matters
PQRI reporting depends on aligning claims data with CMS measure requirements, so understanding the reporting structure helps practices determine whether their services and documentation support participation. The article is relevant to teams evaluating quality measure options and the general CMS process for submitting information.
What You Will Learn
- How CMS frames PQRI participation and measure selection
- The general structure of PQRI quality measures
- The difference between claims-based and registry-based reporting
- How denominator populations are tied to submitted claim data
- How CMS describes measure group reporting at a high level
Who Should Read This
- Physicians
- Anesthesia practices
- Coding and billing staff
- Quality reporting staff
- Practice administrators
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