Advocacy and Health Policy
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ACS Advocacy and Health Policy Staff

Division Director
Christian Shalgian
1640 Wisconsin Ave NW
Washington, DC 20007
Phone: 202-337-2701
Fax: 202-337-4271
cshalgian@facs.org

Assistant Director, Regulatory Affairs and Quality Improvement Programs
Elizabeth W. Hoy, MHA
Phone: 202-337-2701
E-Mail: ehoy@facs.org

Assistant Director, Legislative Affairs
Kristen V. Hedstrom, MPH
Phone: 202-672-1503
khedstrom@facs.org

Manager, State Affairs
Jon Sutton
Phone: 312-202-5358
jsutton@facs.org

General Information
ahp@facs.org

Physician Quality Reporting Initiative (PQRI)

Please note that this section of the American College of Surgeons Web site is continually updated as additional information on the PQRI becomes available. Please check back periodically for updates.

The Centers for Medicare & Medicaid Services (CMS) have continued the Physician Quality Reporting Initiative (PQRI) into 2009 after the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). PQRI is the first CMS national program to link the reporting of quality data to physician payment. The incentive payment for those eligible professionals who successfully participate in the program is 2% of total allowed charges.

Additional information is provided in the following links to help surgeons learn more about the program.

CMS E-Prescribing Incentive Program

Introduction to PQRI:

NewsScope and Bulletin Journal Articles about PQRI

Introduction to Measure Specifications (200K PDF)

Past ACS Presentations/Webinars:

Webinar for 2007 PQRI Participants (1050K PDF)

Webinar for New 2007 PQRI Participants (1240K PDF)

2007 Step-by-Step Overview Presentation (1140K PDF)

Perioperative Care Measure Set Development (325K PDF)

2009 PQRI Performance Measures

Eligible Professionals for PQRI participation (16K PDF)

2009 Measures List (555K PDF)

2009 Measures Specifications (2065K PDF)

Code Changes to 2008 Perioperative Measures Specifications (7K PDF)

2009 Measures Groups (140K PDF)

2009 Measures Groups Specifications (530K PDF)

2009 Implementation Guide (360K PDF)

What's New for PQRI 2009 - CMS Fact Sheet (390K PDF)

2009 PQRI Patient-level Measures (80K PDF)

Changes to 2008 PQRI Measures (10K PDF)

Changes to 2008 PQRI Measures Groups (12K PDF)

Search for most PQRI Measures by CPT Code (140K XLS)

2009 PQRI Reporting Infomation

CMS Implementation Advice for the Office Manager (30K PDF)

2009 Reporting Options Matrix (9K PDF)

2009 Decision Tree (335K PDF)

2009 PQRI Tips Sheet for Satisfactorily Reporting Measures (250K PDF)

CMS PQRI Example Claim Form (140K PDF)

ACS PQRI Example Claim Form (640K PDF)

CMS PQRI Measures Group Example Claim Form (1165K PDF)

2009 CMS PQRI Code Master (235K CSV)

2009 Measure-Applicability Validation Process (115K PDF)

2009 AMA-Developed Data Collection Sheets/Participation Tools – Individual Measures

2009 AMA-Developed Data Collection Sheets/Participation Tools – Measures Groups

Status Update regarding CPT II Coding Issue for the 2009 PQRI (20K PDF)

January 1 thru September 30, 2008 Aggregate QDC Error Report (330K PDF)

Data Registry Reporting Information:

2009 Registry Requirements (35K PDF)

2008 PQRI Registry Requirements (30K PDF)

Qualified Registries for 2008 PQRI Reporting (45K PDF)

2008 PQRI Registry Pilot Testing Participants (15K PDF)

2007 PQRI Results and Payment Information for Participants

2007 PQRI Reporting Experience (2220K PDF)

2007 Preliminary Information -- Executive Summary (16K PDF)

Dashboard—PQRI Participation (57K PDF)

Submission by Carrier (22K PDF)

Submission by Measure (57K PDF)

Total Submission Errors (23K PDF)

QDC Errors by Measure (30K PDF)

Reporting Rates by Measure (23K PDF)

Performance Rates by Measure (35K PDF)

CMS National Provider Calls:

May 2009 (915K PDF)

2008 PQRI Infomation:

2008 Measures List (340K PDF)

2008 Measures Specifications (2000K PDF)

2008 Test Measures Set (166K PDF)

2008 PQRI Reporting Options Slides (190K PDF)

Changes from 2007 PQRI Measures (95K PDF)

For further information, please contact Caitlin Burley at cburley@facs.org.

 

Revised June 23, 2009

 

Advocacy and Health Policy


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by the American College of Surgeons, Chicago, IL 60611-3211