Medicare Compliance & Reimbursement

Plus: CMS reveals common errors from previous PQRI quarters. Collecting your PQRI bonus could get quite a bit easier next year. That's the word from a July 20 CMS-sponsored PQRI national provider call, where Medicare analysts indicated that CMS is proposing to revise the claims-based reporting criteria so that you'll have to report at least three PQRI measures (or 1 to 2 measures if fewer than 3 apply) for at least 50 percent of applicable Part B patients seen during the reporting period. That's down from the 80 percent threshold that's currently in place. For registry and EHR-based reporting, you'd still have to report at least three measures for at least 80 percent of applicable patients, according to the 2011 proposal, said CMS's Aucha Prachanronarong during the July 20 call. CMS reps elucidated several proposed changes that could take effect in January, thanks to changes recommended as part of the [...]