PQRI Archive

Anthem BCBS of Indiana Climbs On Board the Pay-For-Performance Bandwagon

Medicare implemented its Physician Quality Reporting Initiative,which is also known as PQRI. Doctors who satisfied the quality of care and reporting requirements under PQRI received bonuses equal to 1.5% of their 2007 reimbursements. A very limited number of small to medium size practices have opted to participate in PQRI due to the onerous reporting requirements

How to Earn Your Electronic Prescribing Bonus

In recent blogs, we focused on Congress’ carrot and stick approach to encourage e-prescribing. As we discussed, providers who implement e-prescribing could receive Medicare bonuses (above and beyond the Medicare fee schedule payments) equal to 2% of their annual Medicare collections. However, providers who do not implement e-prescribing will eventually see their reimbursements drop below

Medicare Reimbursement Cuts of 10.6% Scheduled to Take Effect on July 1, 2008

As July approaches, the healthcare community is once again bracing itself for significant, scheduled Medicare reimbursement cuts.  Those who have been following the news or reading this blog for more than one year will agree with Yogi Berra that “it’s like déjà vu all over again.” Unless congress is able to intervene, Medicare physician reimbursements

How to Earn Your PQRI Bonus

My last two blogs addressed the ‘what’, ‘when’ and ‘why’ aspects of PQRI (if you haven’t yet read them, you may want to do so prior to reading today’s blog). Today’s blog focuses on the issue of how a health care provider can obtain a PQRI bonus. You are not required to formally register in

Now is the Time to Get Ready for PQRI

As of July 1, 2007, providers must begin reporting information regarding certain quality measures (I’ll describe this in greater detail tomorrow). While the official kickoff for reporting activities is still months away, NOW is the time to make certain that you will be ready. If you are using an EMR, your new reporting responsibilities will

Medicare PQRI Deadline Approaches

As we approach the July 1, 2007 deadline, health care providers are increasingly asking about the details associated with Medicare’s Physician Quality Reporting Initiative (“PQRI”). My next few blogs will address some of the questions I have been asked by providers. Many providers are simply asking “what is PQRI?” PQRI is an initiative created by

CMS Relaxes NPI Deadline

The Centers for Medicare & Medicaid Services (CMS) has just announced that it is relaxing the enforcement of its May 23, 2007 deadline concerning the mandatory use of the National Provider Identifier (“NPI”) in conjunction with all standard transactions. Section 1173(b) of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) set into motion