My software does not allow me to submit a zero dollar charge on a claim. Do I have to change it to participate in the Physician Quality Reporting Initiative (PQRI)?
If your practice management software does not allow entry or submission of zero-dollar line items, you need to change this edit for your Medicare claims for covered professional services on which you submit quality-data codes. You or your staff may be able to accomplish the edit in-house, or you may need to work your billing service or your software vendor. A nominal non-zero charge value (such as a penny) associated with the PQRI code can be submitted until your software vendor resolves the billing software edit. In either case (a charge of $0.00 or an amount greater than $0.00 is billed), the PQRI code is denied, tracked, and included in the PQRI analysis. PQRI educational materials such as power-point slides, PQRI toolkit materials, measure finder tools, coding manuals and frequently asked questions are posted to the CMS website and are available for download. These materials are continuously being updated to assist you. • Question: I have questions about which Physician Quality Rep
