Do all physicians in a practice participating in the PQRI need to meet the 80% reporting threshold for each applicable quality measure?
No. Successful reporting and bonus calculation is determined by CMS at the individual physician level, using the reported National Provider Identifier (NPI). Thus, physicians in a practice who do not participate in the PQRI or who do not meet the 80% reporting threshold, do not impact bonus payouts to practice members who do meet CMS PQRI reporting requirements. The 2007 PQRI bonus payouts for individual practice members will be aggregated and paid in a single check to the practice’s Tax ID # (TIN). CMS will, however, provide feedback reports on physician PQRI reporting patterns to the individual provider. Physician practices will need to devise a method for dividing bonuses as appropriate to each physician who participated and met CMS’ PQRI reporting requirements.
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