DocSite simplifies Physician Quality Reporting Initiative (PQRI)
TMA-endorsed vendor DocSite offers TMA members a simple, free way to satisfy the Physician Quality Reporting Initiative (PQRI) requirements and qualify for incentive payments. Learn more
2009 | 2008
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) (Pub. L. 110-275) made the PQRI program permanent, but only authorized incentive payments through 2010. Physicians who meet the criteria for satisfactory submission of quality measures data for services furnished during the reporting period, Jan. 1 - Dec. 31, 2009, will earn an incentive payment of 2 percent of their total allowed charges for Physician Fee Schedule covered professional services furnished during that same period (the 2009 calendar year).
As required by the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) (Pub. L. 110-173), the Centers for Medicare & Medicaid Services (CMS) has established two alternative reporting periods for the reporting of measures groups and for the submission of data on PQRI quality measures through clinical data registries. The two alternative reporting periods are Jan. 1 - Dec. 31, 2009 and July 1 - Dec. 31, 2009. In total, there are nine options for satisfactorily reporting quality measures data for the 2009 PQRI that differ based on the reporting period a physician chooses to report on, whether the physician chooses to report through claims or an approved clinical registry, and whether the physician chooses to report on individual measures or measures groups.
It is not too late to participate in the 2009 PQRI program. Following are useful tools and resources from CMS that will facilitate your participation.
CMS 2009 PQRI Implementation Advice for Office Managers
A step-by-step summary of claims-based participation in the 2009 PQRI program.
CMS Getting Started with Reporting of Measures Groups ( PDF )
A guide for measure groups participation strategy and getting started.
The 2009 PQRI consists of 153 quality measures and seven measures groups.
CMS 2009 PQRI Measures List ( PDF )
The 153 PQRI measures were developed by various organizations for 2009. This PDF is a list of each measure, the measure developer, and its contact information.
CMS Quality Measures Specifications Manual and Release Notes (accept license for use)
- Measures Specifications Manual: This manual contains the 2009 PQRI measure specifications for all 153 measures.
- Release Notes: List detailing changes to existing measures made since the release of the 2008 PQRI measure specifications.
CMS Measures Groups Specifications Manual and Release Notes (accept license for use)
- Measures Groups Specifications Manual: This manual contains specific guidance for reporting on the seven 2009 PQRI measures groups.
- Release Notes: List detailing changes made since the release of the 2008 PQRI Measures Groups Handbook.
CMS Patient-Level Measures ( PDF )
Subset of the 2009 measures for which the reporting frequency is a minimum of once per reporting period per each individual eligible professional (NPI). In other words, these are considered patient-level or patient-process measures.
CMS PQRI Overview
CMS Tip Sheet: Satisfactorily Reporting 2009 PQRI Measures ( PDF )
CMS Fact Sheet: What's New for 2009 ( PDF )
CMS PQRI Made Simple: For Reporting Preventive Care Measures Groups ( PDF )
DocSite is one of 32 registries CMS has approved to transmit clinical data to Medicare for payment. TMA has vetted this company and arranged for Texas physicians to register, track patient PQRI data, and submit the data to CMS for free* through DocSite PQRI TM .
*Please note: Physicians can only use the TMA coupon code one time. If you submit 2008 data, you must pay $350 to submit through DocSite for 2009.
CMS Qualified Registries for 2009 PQRI Reporting ( PDF ) New
CMS Electronic Health Record Requirement ( PDF )