Physician Quality Reporting Initiative (PQRI)

Overview

On December 20, 2006, the President signed the Tax Relief and Health Care Act of 2006 (TRHCA). Section 101 under Title I authorizes the establishment of a physician quality reporting system by CMS. CMS has titled the statutory program the Physician Quality Reporting Initiative, www.cms.hhs.gov/pqri/.

PQRI establishes a financial incentive for eligible professionals to participate in a voluntary quality reporting program. Eligible professionals who successfully report a designated set of quality measures on claims for dates of service from January 1 to December 31, 2008, may earn a bonus payment, subject to a cap, of 1.5% of total allowed charges for covered Medicare physician fee schedule services.

PQRI Topics

• Overview
• CMS Sponsored Calls
• Statute/Regulations/Program Instructions
• Eligible Professionals
• Measures/Codes
• Reporting
• Analysis and Payment
• Educational Resources
• PQRI Tool Kit