Medicare PQRI

Physician Quality Reporting Initiative (PQRI) is a 1.5% bonus on Medicare reimbursement for reporting on Quality Measures for Medicare Patients between July 1 and Dec 31, 2007. This is not Pay for Performance, this is pay for reporting quality measures. The levels of the LDL or BP or HbA1c are not the basis of the bonus, it is reporting the levels that matter. If you successfully report on 80% of the possible opportunities, you qualify for the 1.5% bonus regardless whether the physician completes all the care 80% of the time. The bonus only applies to the Medicare fee schedule, not Secure Horizons. Dates refer to the date the material or link was posted by CCGC.

Overview

Medicare PQRI Overview for IPIP Practices (June 2007)

Resources to Learn More About PQRI

Medicare PQRI Website (June 2007)
American Academy of Family Physicians Website (June 2007)
AAFP Measures Applicable to Family Practice (June 2007)
AAFP Data Collection Sheets for Diabetes (June 2007)
Measuring for Medicare: The Physician Quality Reporting Initiative by Bruce Bagley (June 2007)

Additional Information

For questions and additional information, please contact Allyson Gottsman at (720) 297-1681.