Q&A: PQRI bonuses

September 19, 2008

My in-house biller says the electronic claims with the Physician Quality Reporting Initiative (PQRI) codes have all been accepted without a problem. But when we call Medicare to ask why I haven't received a bonus, we get nowhere. Should I be concerned about the status of my bonus payment?

Q: My in-house biller says the electronic claims with the Physician Quality Reporting Initiative (PQRI) codes have been accepted without a problem. But when we call Medicare to ask why I haven't received a bonus, we get nowhere. Should I be concerned about the status of my bonus payment?

A: All 2007 PQRI program incentive bonus checks have been issued to Medicare carriers, according to the Centers for Medicare & Medicaid Services. If you have not yet received your 2007 bonus check, contact your carrier for more information about disbursement. For details on how to access your 2007 PQRI feedback report, go to http://www.cms.hhs.gov/MLNmattersArticles/downloads/se0831.pdf. The 2009 PQRI program will function similarly to 2008, and it will once again be voluntary. Successful participants in the 2009 PQRI program will earn an incentive bonus up to 2 percent of their Medicare Part B billings for the year, excluding drugs, other biologics, and durable medical equipment.