PQRI: Not All Doctors in Your Practice Must Participate in PQRI to Collect Incentive

Why This Topic Matters

Practices needed clarification on how PQRI and e-prescribing incentives are tied to individual providers versus the practice as a whole, and on how to obtain feedback reports and monitor annual program changes. Understanding these CMS updates helps staff manage reporting and avoid missed incentive opportunities.

Article Sections

1. Participation and Incentive Timing

   This section discusses CMS guidance on how participation is assessed within a practice and when related incentive payments are expected to be issued.

2. Feedback Reports

   This section explains the general process for requesting PQRI feedback reports and the different access paths for report requests tied to provider identifiers.

3. Measures Group Reporting

   This section addresses questions about reporting measures groups and how CMS described handling repeated reporting within the program.

4. Large Practice Reporting

   This section covers how CMS described reporting for larger practices and the distinction between individual and group-based participation approaches.

5. E-Prescribing Incentive

   This section discusses eligibility considerations for the e-prescribing incentive and CMS comments about claim submission requirements.

6. Annual Program Updates

   This section reminds readers to review current program materials each year and points to CMS resources for identifying eligible professionals.