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PQRI

Physicians Quality Reporting Initiative (PQRI)


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  • Receive 1.5% bonus check on total allowed charges.
  • No enrollment required.
  • Standard on all edgeMED software.

PQRI = 1.5% Bonus Payment
PQRI is the “Physicians Quality Reporting Initiative,” formerly known as the “Physician Voluntary Reporting Program” (PVRP). The Tax Relief and Health Care Act of 2006 mandated the establishment of a physician quality reporting system and authorized a payment incentive for voluntary participation through the Centers for Medicare and Medicaid Services (CMS).

All edgeMED software is PQRI compatible. While CMS is required by law to establish the program, physicians are not required to participate in the program. However, physicians who do participate are eligible for a bonus payment subject to a cap of 1.5% of total allowed charges for covered Medicare physician fee schedule services.

No enrollment is required in the program in order to participate. Provider’s can participate by reporting the appropriate quality measure data on claims submitted to their Medicare claims processing contractor. For detailed information, please visit the Centers for Medicare and Medicaid Services web site by selecting PQRI.

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Testimonials

" After using the software for some time in many billing situations, it is obvious that people with a true understanding of medical billing took a large part in creating the edgeMED software..."

- Alan J. Yesner, MD

"I want to communicate to you what an outstanding product your company has. I continue to be amazed at the intuitive nature of the design, the ease of use of the critical features and functions..."

- H. Steven Block, MD, PA