tci Part B Insider - 2007 Issue 10

QUALITY REPORTING: Why You Could Do Everything Right And Still Not Receive The 1.5-Percent Bonus

The PQRI "cap" may force you to report more servicesAs paltry as the 1.5-percent bonus for participating in Medicare's quality reporting program seems, even that amount isn't guaranteed to spotless participants.The catch: You receive an extra 1.5 percent of all your billings if you report up to three quality measures per claim, at least 80 percent of the time when those quality measures apply. But Medicare will apply a -cap- that will reduce the 1.5-percent bonus if you only reported relatively few measures, officials from the Centers for Medicare & Medicaid Services (CMS) said in...

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