Medicare proposal would simplify PQRI

Medicare is proposing a rule that would simplify reporting requirements for the Electronic Prescribing Incentive Program and the Physician Quality Reporting Initiative and set the Medicare Physician Fee Schedule for calendar year 2010.

The proposal would also add more measures for physicians to report under the PQRI pay-for-performance program, allow data submission from an electronic health record system and create a process to ease quality measure reporting for group practices.

The Centers for Medicare and Medicaid Services has also revised the reimbursement system for some payments. For example, it proposes to stop paying for “consultation” codes typically billed by specialists at a higher rate than equivalent “evaluation and management” services. In addition, CMS is proposing to remove physician-administered drugs from the definition of “physician services,” an action the American Medical Association has been calling for since 2002. Read More Electronic Prescription