Physician Quality Reporting Initiative (PQRI)
2007 Physician Quality Reporting Initiative (PQRI) Data Collection Worksheets
Please see the below Physician Quality Reporting Initiative (PQRI) measure-specific worksheets that will walk you through step-by-step in reporting each PQRI measure. These worksheets may be used by your practice on a concurrent basis to collect PQRI data upon the patients arrival for appointments. Each measure will assist physicians in the following ways:
- Identify the patients for whom PQRI measures and codes apply.
- Capture clinical information for translation into the administrative claim process.
- Integrate the measures into your practice.
- Maintain a copy of the Worksheet to enable QI and tracking at the practice level.
Please click below for the following endocrine related PQRI Data Collection Worksheets:
Measure #1: Hemoglobin A1c Poor Control in Type I or 2 Diabetes Mellitus
Measure #2: Low Density Lipoprotein Control in Type I or 2 Diabetes Mellitus
Measure #3: High Blood Pressure Control in Type 1 or 2 Diabetes Mellitus
Measure #18: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Measure #19: Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Measure #39: Screening or therapy for Osteoporosis for women aged 65 years and older
Measure #41: Osteoporosis pharmacologic therapy
Measure #42: Osteoporosis: Counseling for vitamin D, calcium intake, and exercise
For a complete list of PQRI data collection worksheets, please visit http://www.cms.hhs.gov/PQRI/31_PQRIToolKit.asp#TopOfPage
Physician Quality Reporting Initiative (PQRI)—Educational Resources
As a reminder, the Centers for Medicare & Medicaid Services (CMS) has several educational resources to promote and increase an understanding of the Physician Quality Reporting Initiative (PQRI). These resources will provide further guidance that will complement your upcoming Ask-the-Contractor Teleconferences (ACT). Educational resources available on the Web site include:
2007 PQRI – New Educational Products
- Coding for Quality – A Handbook for PQRI Participation
- 2007 PQRI Code Master
- 2007 PQRI Fact Sheet
Frequently Asked Questions
The Centers for Medicare & Medicaid Services (CMS) has posted Frequently Asked Questions (FAQs). You can access these FAQs by visiting the Physician Quality Reporting Initiative (PQRI) Web page at http://www.cms.hhs.gov, on the CMS Web site. Go to the overview section, scroll down to the "Related Links Inside CMS" section and click on the link titled "All PQRI FAQs." Continue to check the FAQ section regularly for updates.
PowerPoint Presentations
- 2007 PQRI Preparation and Participation Strategies for Successful Reporting – April 19, 2007
- 2007 PQRI Coding Guidance – Module III – May 24, 2007
- 2007 "Coding for Quality: The Measures, Module 4" – June 13, 2007
You may access these presentations by visiting the PQRI Web page at http://www.cms.hhs.gov/PQRI. Go to the "Educational Resources" section and download the materials. We look forward to participating on some of the upcoming ACTs, so remember to forward the teleconference information to the ProviderServices@cms.hhs.gov mailbox as soon as the teleconference details have been finalized.
Measure Finder Tool
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce that the 2007 Physician Quality Reporting Initiative (PQRI) Measure Finder Tool (Version 1.0) is now available as part of the 2007 PQRI Tool Kit ~ Six Steps to Success.
The Measure Finder Tool (Version 1.0) is designed to help eligible professionals and their coding/billing staff to quickly search for applicable measures and their detailed specifications. This tool will allow users to search for applicable measures based on a single code or a combination of codes.
The addition of this new product expands the Tool Kit to six new and existing educational resources that will assist eligible professionals with successful reporting.
To access the Tool Kit, visit, http://www.cms.hhs.gov/PQRI on the CMS Web site in the PQRI Tool Kit section. Once on the PQRI Tool Kit page, scroll down to the "Downloads" section.