PQRI:Make Sure These Errors Don't Cause Your PQRI Bonus To Tank

Why This Topic Matters

PQRI reporting errors can prevent otherwise submitted quality data from counting toward incentive payment eligibility. Understanding the broad error categories and the measures most often affected helps practices evaluate submission quality and compliance processes.

Article Sections

1. CMS report findings

   Introduces the CMS analysis of PQRI submissions and the overall submission performance it observed. Sets the context for the error categories discussed later in the article.

2. Missing NPI

   Covers submission problems related to missing provider identifiers and identifies one measure category noted by CMS as frequently affected.

3. Wrong HCPCS Code

   Summarizes the portion of submissions with incorrect procedure or quality-data reporting codes and notes that several measure categories were commonly affected.

4. Wrong Diagnosis

   Addresses submission errors involving diagnosis coding and references a measure category that CMS found especially error-prone.

5. Keep in mind

   Describes additional CMS review points beyond code matching, including broader demographic and data consistency checks.