PQRI :Patients With Medicare as Secondary Count Toward PQRI

Why This Topic Matters

Understanding these reporting and incentive program details helps practices determine whether they can participate, how quality measures may be reported in specific claim scenarios, and whether they may be eligible for separate Medicare incentive programs.

Article Sections

1. PQRI Reporting Period and Measures Groups

   Overview of the new reporting period and the option to begin reporting through a measures group. Includes general CMS discussion of program participation.

2. Medicare Secondary Payer and Perioperative Measures

   Discussion of reporting circumstances involving patients with Medicare as a secondary payer and perioperative measure reporting on surgical claims.

3. CMS Resources and Help Desk

   Reference to CMS support resources for questions about measures and participation in the program.

4. E-prescribing Bonuses

   General information on eligibility for the e-prescribing incentive program under the Medicare Physician Fee Schedule and related payment methodologies.