Top PQRI official: Test actual quality codes before July 1

Article Overview

This article covers early Medicare PQRI guidance from CMS on how physicians should test quality-reporting claims before the program’s start date. It focuses on testing actual quality codes, checking remittance advice responses, understanding how reporting thresholds may apply to different specialties, and what practices should expect from carriers and CMS processing. The piece is relevant to physicians, coders, billing staff, and practice managers preparing PQRI claims and monitoring reporting performance.