tci Medicare Compliance & Reimbursement - 2009 Issue 5

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

CMS shows which issues sidelined these practices. Most practices would agree that a 57.2 percent success rate isn't overly impressive -- but that's exactly what the Centers for Medicare & Medicaid Services found in its recent analysis of PQRI submissions. Almost 43 percent of the quality data codes (QDCs) that practices submitted to CMS were ineligible for the PQRI bonus because physicians reported them improperly,CMS noted in a February report, "Quality-Data Code Submissions Error Report." The report analyzed PQRI submissions over the first three quarters of 2008. For 2009, the PQRI incentive payment is two percent...

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