Pay-for-Performance
The AAN is committed to helping its members better understand Pay-for-Performance as it develops.
Access 2010 Pay-for-Performance resources and related tools.
What is P4P?
Physician Quality Reporting Initiative (PQRI)
The 2006 Tax Relief and Health Care Act (TRHCA) (P.L. 109-432) required the establishment of a physician quality reporting system, including an incentive payment for eligible professionals (EPs) who satisfactorily report data on quality measures for covered professional services furnished to Medicare beneficiaries during the second half of 2007 (the 2007 reporting period). CMS named this program the Physician Quality Reporting Initiative (PQRI). The PQRI was further modified as a result of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) (Pub. L. 110-275) and the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) (Pub. L. 110-275).
To participate in the 2010 PQRI, individual EPs may choose to report information on individual PQRI quality measures or measures groups: (1) to CMS on their Medicare Part B claims, (2) to a qualified PQRI registry, or (3) to CMS via a qualified electronic health record (EHR) product. Individual EPs who meet the criteria for satisfactory submission of PQRI quality measures data via one of the reporting mechanisms above for services furnished during a 2010 PQRI reporting period will qualify to earn a PQRI incentive payment equal to 2.0% of their total estimated Medicare Part B Physician Fee Schedule (PFS) allowed charges for covered professional services furnished during that same reporting period.
- CMS Physician Quality Reporting Initiative
- 2010 Neurology PQRI Measures and Specifications
- PQRI Data Collection Sheets
- Information on reporting via a qualified registry
- Information on reporting via a qualified EHR
Medicare e-Prescribing Incentive Program
To participate in the 2010 eRx Incentive program, individual EPs may choose to report on their adoption and use of a qualified eRx system by submitting information on one eRx measure: (1) to CMS on their Medicare part B claims, (2) to a qualified registry, or (3) to CMS via a qualified electronic health record (EHR) product.- CMS e-Prescribing Incentive Program
- e-Prescribing Measure Specifications
- Claims-Based Reporting Principles for eRx
- Group-Practice Reporting for eRx
- Registry Reporting for eRx
- EHR Reporting for eRx
It's Not Too Late to Participate in the 2010 Electronic Prescribing Incentive Program (eRx)
Neurologists can still participate in the 2010 Electronic Prescribing Incentive Program (eRx) and qualify to receive the full-year 2.0% incentive payment. Individual neurologists must report the eRx measure at least 25 times to be considered incentive eligible. Also the Medicare Part B Physician Fee Schedule allowed charges for services in the eRx measure's denominator should make up 10% or more of the total 2010 estimated allowed charges.Eligible neurologists must have implemented a "qualified" system as defined in the eRx measure specifications. To see if your system meets these requirements click here and select the entry marked "2010 eRx Measure Specification and Release Notes" under the download section. Reporting the Quality Data Code (G8553) for the eRx measure to CMS through claims or submission of data using a qualified registry or from a qualified Electronic Health Record (EHR) is all that is necessary to participate.
View available educational resources on the 2010 Electronic Prescribing Incentive Program.
Educational Opportunities
PQRI Webinar
Did you miss "2010 PQRI for Neurologists: Learn How to Earn your Bonus" on March 4th, 2010? Click Here to view the live recording of the Webinar presented by presented by AAN member Rita Richardson, MD, FAAN and CMS speaker Michael T. Rapp, MD, JD, FACEP.PQRI Webinar Materials
- AAN Presentation
- PDF of AAN Presentation
- CMS Presentation
- PDF of CMS Presentation
- Full Video Presentation
Articles
The AAN has developed articles which appeared in AANnews and on AAN.com to provide additional information on the Pay-for-Performance initiatives and quality measure development.
- 2010 Quality Measures Finalized for CMS Reporting Program (AANnews, January 2010)
- Start Reporting CMS Quality Measures for 2010 (AANnews, February 2010)
- AAN Making Strides in Performance Measure Development: Get Involved
- Learn About PQRI Bonus in Free Practice Webinar (AANnews, February 2010)
- Conflict of Interest: Stricter Policies Limit Participation in National Measure Development (AANnews, November 2009)
- Academy Supports Changes to Quality Program as Part of Health Care Reform (AANnews, August 2009)
