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CMS-1403-FC
the 2009 PQRI in an effort to expand opportunities for
eligible professionals to participate in PQRI.
Comment: We received many comments urging us to ensure
that all eligible professionals have meaningful
opportunities to participate in the PQRI. Some commenters
were specifically concerned that funding for the Quality
Insights of Pennsylvania (QIP) project to develop
nonphysician quality measures has ended and hoped that CMS
will continue to extend funding in the future for the
development and implementation of quality measures for
nonphysicians as well as to move measures already developed
by the QIP through the NQF endorsement and/or AQA approval
process.
Several commenters were also concerned that therapists
who work in certain outpatient settings (for example, acute
care hospitals, skilled nursing facilities, comprehensive
outpatient rehabilitation facilities, or rehabilitation
agencies) are unable to participate in PQRI since they do
not use the 1500 or 837-P claim form and instead submit
claims on the UB-04 or 837-I form where there is no place
to report the individual National Provider Identifier (NPI)
of the eligible professional furnishing the service. The
commenters recommended registry-based alternatives for PQRI
participation.
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