ED Coding & Reimbursement Alert - 2007 Issue 37
PQRI: You Won't Know Your Share Of The $1.35 Billion PQRI Pie Until The End
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Article Overview
This article explains a set of Medicare policy updates for physicians, centered on the 2008 Physicians Quality Reporting Initiative (PQRI) and related fee schedule changes discussed by CMS. It is relevant to physicians, practice administrators, and billing/coding staff who monitor quality reporting opportunities, telehealth coverage, therapy recertification timing, drug acquisition program deadlines, and physician payment policy. The article also notes CMS commentary on geographic payment adjustments and equipment use assumptions.
Why This Topic Matters
The piece helps readers understand which CMS policy changes may affect reporting participation, reimbursement timing, and practice operations for the upcoming year.
Article Sections
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PQRI expansion and bonus funding
Overview of the next year’s quality reporting initiative, including broader participation and the structure of the bonus pool. The section also addresses the program’s future status.
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Other fee schedule regulation updates discussed by CMS
Summary of additional physician payment and administrative policy topics raised in the same CMS forum. These include geographic payment adjustment issues, therapy recertification timing, CAP filing changes, telehealth coverage, and equipment-use assumptions.
What You Will Learn
- How CMS framed the upcoming quality reporting program changes
- What other physician payment policy topics were discussed alongside PQRI
- Which operational areas of practice management were affected by the CMS updates
- How CMS addressed broader Medicare payment and reporting issues for physicians
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice administrators
- Compliance staff
Codes Discussed
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