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------=_NextPart_01C92A22.46E16100 Content-Location: file:///C:/2A1311EC/VT-Med-Soc-10-16-08-PQRI-eRx_National_Provider_Call_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C92A22.46E16100 Content-Location: file:///C:/2A1311EC/VT-Med-Soc-10-16-08-PQRI-eRx_National_Provider_Call_files/editdata.mso Content-Transfer-Encoding: base64 Content-Type: application/x-mso QWN0aXZlTWltZQAAAfAEAAAA/////wAAA/BEAAAADwCIFzwAAAAAAIkXNAAAAAAAAAAAAAAAAAAA AFgCAAAAAQEAAQEAAAEBAQABAAAAAAAAAADQAAAAAAAAAAAAAIACAeAAAAvwBAAAABI0Vng= ------=_NextPart_01C92A22.46E16100 Content-Location: file:///C:/2A1311EC/VT-Med-Soc-10-16-08-PQRI-eRx_National_Provider_Call_files/slide0173.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" October 16, 2008 Educational Session Presentation
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3D"Medicare
Centers for Medicare & Medicaid Services
2008 Physician Quality Re= porting Initiative (PQRI)
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Vermont Medical Society
October 16,2008
Andrew Finnegan&#= 13;
CMS RO1
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3Dbackground
2
Disclaimers
•This presentation was current at the time it was published or uploaded onto the web.  Medicare policy c= hanges frequently so links to the source documents have been provided within the document for your reference.&#= 13;
• <= /span>
•This presentation was prepared as a tool to assist providers and is not intended to grant rights or impose obligations.  Although every reasonable effort has been made to assure the accuracy of the information within t= hese pages, the ultimate respo= nsibility for the correct submission of claims and response to any remittance advice lies with the provider of services.  The Centers for Medicare & Me= dicaid Services (CMS) employees, agents, and staff make no representation, warranty, or <= /span>guarantee that this compilation of Medicare inform= ation is error-free and will bear no responsibility or liability for the results or consequences of the use of this guide.  This publication is a general summary that explains cer= tain aspects of the Medicare Program, but is not a legal document.  The official Medicare Program provisions are contained in the relevant laws, regulations, and rulings.
•
•CPT only copyright 2007 American Medical Associati= on. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS\DFARS Restrictions Apply to Government Use. Fee schedule= s, relative value units, conve= rsion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use.  The AMA does not direct= ly or indirectly practice medicine or dispense medical services.  The AMA assumes no= liability for data contained or not contained herein.
•
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Overview
•<= /span>2007 PQRI Update
–<= /span>Common issues reported by eligible professionals&#= 13;
–<= /span>2007 Incentive Payment and Feedback Reports
–<= /span>Help Desks
•<= /span>Review MIPPA provisions relevant to new e-prescrib= ing incentive
•<= /span>Review e-prescribing measure in 2008 PQRI
•<= /span>Implementation schedule for 2009 PQRI and e-prescr= iber incentive
•<= /span>2008 PQRI updates
–<= /span>2008 Registries
•Questions=
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Common Issues & Questions Reported
by Eligible Professionals Who <= br> Participated in PQ= RI 2007
•<= /span>Accessing the confidential feedback reports <= /span>
•<= /span>Understanding the feedback report
–<= /span>Performance rate calculation
–<= /span>Eligible instances to report
–<= /span>Measure Applicability Validation
•My office tracking system shows that I reported PQ= RI quality data codes correctl= y, but the feedback report shows differences in my reporting.
•<= /span>My feedback report shows that I am due an incentiv= e payment but I have not  received it. When will I receive = my incentive payment?
•<= /span>How was the incentive payment calculated?
•What claims data was used to calculate my incentiv= e payment and determine the 80% threshold?
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2007 Incentive Payments
•<= /span>Distributed by the Carrier or A/B Medicare Administrative Contra= ctor (MAC)
•<= /span>Issued beginning July 15, 2008 =
•Some carriers were delayed in distributing incenti= ve payments
–<= /span>If you bill to multiple carriers, you will receive= a separate payment from each carrier
•<= /span>Identified as:
–<= /span>Paper checks- an explanatory message on the P4R lu= mp sum bonus payments that says:  “This check is f= or a P4R payment.” 
–<= /span>Electronic transmissions- provider adjustment code “LS” (lump sum) will appear in PLB03-1 on the outgoing 835
•<= /span>Tax Identification Number (TIN) Level Lump-Sum Pay= ment
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2007 PQRI Incentive Payment
•<= /span>NOTE: = Only Medicare Part B claims which contained an individual National Provider Identifier (NPI) were included in the 2007 incentive payment = calculation. Medicare Part B Claims which <= /span>contained a legacy UPIN and no NPI were NOT included in the 2007 incentive payment calculation.
•<= /span>Incentive amounts were calculated at the individual eligible provider (NPI) level
•<= /span>Incentive payments were paid at the practice (TIN)= level
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Guide to Understanding the
2007 PQRI Incentive Payment
•To determine how the incentive payment was calculated and to understand key terms used in PQRI analysis and documentation •“A = Guide for Understanding the 2007 PQRI Incentive Payment” c= an be found at: •https://www.cms.hhs.gov/PQRI/Downloads/PQRIIncen= tivePayment.pdf
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•Includes three tables&= #13;
–Table 1
•<= /span>Earned Incentive Summary for Taxpayer Identificati= on Number (Tax ID or TIN)= 3;
–<= /span>All EPs’ NPIs within TIN <= /div>
–<= /span>Breakdown of each individual’s earned incentive
•<= /span>Accessible only by TIN
•<= /span>Up to TIN to distribute Table 2 information and, if applicable, Table 3, to indivi= dual EP’s NPI
–Table 2
•<= /span>NPI Reporting Detail (if submitted at least one va= lid QDC)
•<= /span>One for each participating EP
–Table 3
•<= /span>NPI Performance Detail
•<= /span>Available if EP had at least one reported instance= for a
PQRI measure
2007 Fe= edback Report at a Glance
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= 226;Each TIN will receive only one report
&#= 8226;Key points:
&#= 8211;Total Tax ID Earned Amount: The total incentive amount earned = by the Tax ID
–NPI Total Earned Incentive Amount: The <= /span>lesser of the 1.5% bonus calculation and the bonus cap calculation for each incentive-eligible professional’s NPI within the= Tax ID

 =
Table 1: Earned Incentive Summary for Taxpayer Identification Number (Tax ID)
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Table 1: Earned Incentive Summary for Taxpayer Identification Number (Tax ID)<= /div>
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•<= /span>Each TIN receives report for each EP (identified <= br> by NPI) participat= ing under TIN, in appropriate claim data fields for professional rendering service
•<= /span>Provides details for each measure available for EP= to report
•Reflects which measures were reported satisfactori= ly
–<= /span>Measures Eligible: Total number of measures for which EP’s NPI within Tax ID could have reported a valid QDC,= based on measures specifica= tions
–<= /span>Measures Reported: Total number of measures for which EP’s NPI within Tax ID reported at least one valid QDC<= /span>
–<= /span>Reporting Rate: For each quality measure with eligible instances, EP’s reporting rate under this TI= N is calculated by finding quotient of number of Reported Instances divided by number of Opportunities to Report
Table 2= : NPI Reporting Detail
------=_NextPart_01C92A22.46E16100 Content-Location: file:///C:/2A1311EC/VT-Med-Soc-10-16-08-PQRI-eRx_National_Provider_Call_files/slide0308.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" October 16, 2008 Educational Session Presentation
3D"Screen
Table 2: NPI Reporting Detail
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