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Eligible professionals who participate in the 2008 PQRI program will have access to a CMS analysis of their reported data. Those who satisfactorily report quality-measures data on claims for services furnished January 1 through December 31, 2008, will earn a single consolidated incentive payment in mid-2009. The incentive payment will be 1.5% of total allowed charges for covered Physician Fee Schedule services provided January 1-December 31, 2008. Incentive payments earned will be paid to the Taxpayer Identification Number (TIN) under which the incentive-earning professional submitted PQRI claims. Validation of Satisfactory Reporting As required by statute, the 2008 Physician Quality Reporting Initiative (PQRI) includes validation processes. The determination of satisfactory reporting will itself serve as a general validation because the analysis will assess whether quality-data codes are appropriately submitted in a sufficient proportion of the instances when a reporting opportunity exists. In addition, for those professionals who achieve a reporting rate at or above 80% for each of fewer than three PQRI measures, a measure-applicability validation process will determine whether they should have submitted quality-data codes for additional measures. For information on how the 2008 PQRI measure-applicability validation will be implemented, see the document titled "2008 Measure-Applicability Validation Process for Claims-Based Participation", which is available in the "Downloads" section below.
Page Last Modified: 12/08/2008 10:35:49 AM
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