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2009 PQRI – Incentive Payments Eligible professionals who satisfactorily report quality-measures data for services furnished January 1, through December 31, 2009, will earn a single consolidated incentive payment in mid-2010. The incentive payment will be 2.0% of estimated total allowed charges for covered Medicare Part B Physician Fee Schedule services provided January 1 through December 31, 2009. Incentive payments will be paid to the Taxpayer Identification Number (TIN) under which the incentive-earning professional submitted PQRI claims. 2009 PQRI - Validation of Satisfactory Reporting As required by statute, the 2009 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 submitted through claims, a measure-applicability validation process will determine whether they should have submitted quality-data codes for additional measures. For information on how the 2009 PQRI measure-applicability validation will be implemented, see the document titled "2009 Measure-Applicability Validation Process for Claims-Based Participation", which is available in the "Downloads" section below. 2008 PQRI - Incentive Payments 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 estimated total allowed charges for covered Medicare Part B Physician Fee Schedule services provided January 1-December 31, 2008. Incentive payments earned will be paid to the TIN under which the incentive-earning professional submitted PQRI claims. 2008 PQRI - Validation of Satisfactory Reporting As required by statute, the 2008 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: 01/16/2009 8:29:20 AM
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