PQRI Participation and Coding Tips


The Centers for Medicare & Medicaid Services has developed a Tip Sheet to assist eligible professionals participating in PQRI with reporting accuracy.  Successful participation in PQRI is dependent on accurate submission of information provided on Medicare claims.  This new resource provides helpful tips on the PQRI reporting process and is available on the PQRI web page at http://www.cms.hhs.gov/PQRI/Downloads/2007PQRITipSheet.pdf .

Other PQRI Resources

New information is continually added to the most reliable source of information about PQRI, the CMS website: http://www.cms.hhs.gov/PQRI .  Here you will find new and revised Frequently Asked Questions (FAQ), updates on issues related to both the 2007 and 2008 PQRI, new educational products, and access to the latest information you need to successfully participate in PQRI.  Many of the FAQs have been recently updated, so be sure to check the website if you have any questions.

Most Recent FAQs

FAQ #8691  
Question:   Where do I place the Physician Quality Reporting Initiative (PQRI) quality-data codes on the CMS-1500 claim form?
Answer:   The 2007 PQRI quality-data codes are HCPCS codes and reporting requirements for these codes follow current rules for reporting other HCPCS codes (e.g. CPT Category I codes).  For additional information, see FAQ #8255.

FAQ #8687  
Question: Are Medicare patients who are covered under Railroad Retirement Benefits and Postal Worker benefits included in the Physician Quality Reporting Initiative (PQRI)?
Answer:   Yes.