Most Frequently Asked
PQRI Questions & Answers

Q. Will my patients have to pay a share of the PQRI bonus?

A. No. There is no beneficiary co-insurance. Participating professionals cannot collect any payment from beneficiaries for quality reporting. Beneficiaries will receive a message on their Medicare Summary Notices (MSNs) indicating that they should not be charged for the quality data codes.

Q. Will the number of PQRI participants in our group practice affect our analysis of satisfactory reporting?

A. No. The analysis of satisfactory reporting will be done at the individual level by NPI.

Q. Will my PQRI results be reported publicly?

A. No. There will be no public reporting of PQRI results for 2007.

Q. Is the potential PQRI bonus based only on the charges from claims that contain quality codes?

A. No. The potential PQRI bonus is based on total allowed charges for covered professional services furnished during the reporting period and paid under the Physician Fee Schedule.