tci Medicare Compliance & Reimbursement - 2007 Issue 43
PQRI: You Won't Know Your Share Of $1.35 Billion Pie Until The End
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Article Overview
This article explains upcoming changes to the Medicare Physicians Quality Reporting Initiative (PQRI) for 2008. It covers the expansion in the number of quality measures, the addition of structural measure categories related to electronic prescribing and electronic health records, and the broader payment-program context that affects participation interest and potential incentive distribution. It is aimed at physicians, practice managers, and coding/billing professionals who follow Medicare quality reporting initiatives and want to understand the scope of the updated program.
Why This Topic Matters
PQRI participation can affect Medicare incentive eligibility and practice reporting strategy. Understanding the program’s scope and measure expansion helps providers assess whether the initiative is relevant to their workflows and reporting capabilities.
What You Will Learn
- How PQRI is changing for the 2008 reporting year
- What broad types of measures are being added
- Which kinds of practice technology topics are included in the program
- Why the program’s funding structure affects participant outcomes
- How the article frames the program’s outlook beyond 2008
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle professionals
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