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CMS-1403-FC
incentive payment for PQRI must be for covered professional
services furnished during a given reporting period. We do
not have the authority to allow satisfactory reporting of
measures groups via registries for a 1-year reporting
period to count as satisfactory reporting for another year
or reporting period.
Based on the comments received, we are finalizing the
six options proposed for satisfactorily reporting on
measures groups as described in Table 12. The details of
the requirements for registries are contained in section
II.O1.b.iii.
TABLE 12: Final 2009 PQRI Reporting Options for Measures
Groups
Reporting
Mechanism
Claims-based
reporting
Claims-based
reporting
Claims-based
reporting
Registry-based
reporting
Registry-based
reporting
Reporting Criteria Reporting Period
One Measures Group for 30 Consecutive
Medicare Part B FFS Patients.
One Measures Group for 80 percent of
applicable Medicare Part B FFS patients of
each eligible professional (with a minimum
of 30 patients during the reporting period).
One Measures Group for 80 percent of
applicable Medicare Part B FFS patients of
each eligible professional (with a minimum
of 15 patients during the reporting period).
One Measures Group for 30 Consecutive
Patients. Patients may include, but may not
be exclusively, non-Medicare patients.
One Measures Group for 80 % of applicable
Medicare Part B FFS patients of each
eligible professional (with a minimum of 30
patients during the reporting period).
January 1, 2009 –
December 31, 2009
January 1, 2009 –
December 31, 2009
July 1, 2009 –
December 31, 2009
January 1, 2009 –
December 31, 2009
January 1, 2009 –
December 31, 2009
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