PQRI Reimbursement Tool
AQuIRE
What is PQRIwizard?
The PQRIwizard is a fast, convenient, and cost-effective online tool to help collect and report quality measure data for the Centers for Medicare and Medicaid Services (CMS) PQRI incentive payment program. Similar to online tax preparation software, the PQRIwizard helps guide you through a few easy steps to help rapidly collect, validate, report, and submit the results to CMS for payment. The PQRIwizard is powered by the CECity Registry™, a CMS-qualified registry for PQRI reporting.
What is the financial incentive?
If you participate in PQRI 2009, you can receive an incentive payment of 2% of all of your total allowed charges for physician fee schedule (PFS)-covered services.*
What is PQRI?
The Physician Quality Reporting Initiative (PQRI) was developed by the CMS in 2007 as a voluntary reporting program that provides a financial incentive to physicians and other eligible professionals who report data on quality measures for covered services furnished to Medicare beneficiaries.
What measure groups are available?
PQRIwizard offers the following measure groups for pulmonary physicians:
Preventive care measures include:
- Influenza Vaccination for Patients Aged 50 Years and Older
- Pneumonia Vaccination for Patients Aged 65 Years and Older
- Inquiry Regarding Tobacco Use
- Advising Smokers To Quit
- Body Mass Index (BMI) Screening and Follow-Up
- Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older
- Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
- Screening Mammography
- Colorectal Cancer Screening
- Rheumatoid Arthritis (RA)
Perioperative care measures include:
- Timing of Antibiotic Prophylaxis - Ordering Physician
- Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
- Discontinuation of Prophylactic Antibiotics (Noncardiac Procedures)
- Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
The following measure groups also are available:
- Diabetes Mellitus
- Rheumatoid Arthritis
- Back Pain
- Chronic Kidney Disease
- Coronary Artery Bypass Graft
Why use PQRIwizard?
- Maximize your PQRI incentive
- Automatic data validation
- Minimize data entry time (Requires as few as 30 patient records)
- Eliminate claims and coding
Many PQRI registries require that you collect data from 80% of all of your eligible Medicare patients. The PQRIwizard simplifies the entire process by using the measure group approach. Using the PQRIwizard, you only have to collect 30† patient visits from the entire year to complete your report!
Plus, PQRIwizard has a built-in Progress Monitor that checks for missing data to validate your report. The Progress Monitor tracks your data to provide you with continuous feedback regarding valid patients, and provides an alert when you have met all submission criteria and your data is ready to be reviewed and submitted. The system even calculates your measures and provides a printable report of your measure results in real time.
How do I participate?
Use the PQRIwizard to submit your PQRI data. All you need to do is register, select a measure group, and then just answer a few questions per patient. PQRIwizard takes the guessing out of PQRI participation—just follow the simple steps and let the wizard do the rest!
* Submission of data to CMS is not a guarantee of payment by CMS.
† You will need to collect 30 consecutive patient visits with a minimum of two Medicare Fee for Service patients. |
