Is the bonus based on professional and technical component billings? What about radiopharmaceuticals?
The statute defines PQRI covered services as those paid under the Medicare Physician Fee Schedule. The PQRI quality measures are meant for physician reporting only and can include technical and professional components of diagnostic services when billed globally. If a physician bills Medicare for only the professional component of care rendered, those professional Medicare physician billings will be counted in calculating the bonus. Radiopharmaceuticals will also be included in the basis of total allowed charges on which the 1.5% bonus is calculated. For more details on payment, see MLN Matters Number: MM5558, page 5. http://www.cms.hhs.gov/mlnmattersarticles/downloads/mm5558.
Related Questions
- Is the bonus based on all allowable Medicare charges billed under the Physician Fee Schedule or just billings for the measures reported?
- Where should an Independent RHC send a bill for the Total Component (Technical and Professional Components) of an Electrocardiogram (EKG)?
- Is the bonus based on professional and technical component billings? What about radiopharmaceuticals?
