Advanced Search

Medicare Compliance & Reimbursement

PQRI:

Medicare Advantage Plans May Disburse PQRI Bonuses

Published on Tue May 25, 2010

Plus: You still have time to get in on this year's PQRI bonus incentive program. If you're looking for PQRI payments from your Medicare Advantage payers, you may not be out of luck. That's the word from CMS staffers, who clarified the issue during a May 12 CMS-sponsored Physician Quality Reporting Initiative (PQRI) national provider call. To eliminate confusion that has abounded throughout the medical community, CMS wanted to confirm that eligible professionals can, in some cases, collect PQRI bonuses for providing care to Medicare Advantage patients, said CMS's Francis Szeflinski during the call. "It's very limited," he said, because you must consider first whether your contract with your Medicare Advantage (MA) organization indicates that it will pay the additional PQRI money to you. If it isn't in your contract, the MA organization is not required to pay you the PQRI bonus. Caveat: If you don't have a written contract [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All