Options Involve Claims-Based and Registry-Based Reporting
Three of the nine options outlined by the Centers for Medicare and Medicaid Services for reporting data to PQRI in 2008 allow claims-based reporting. Here are details on the claim-based option:
▸ Physicians can choose to report on individual measures for a full year from Jan. 1 to Dec. 31, 2008. Under this option, physicians with three or more applicable measures would report on at least three measures for at least 80% of their patients. Those with fewer than three applicable measures would report on all of those measures for at least 80% of their eligible patients.
▸ Physicians also can choose from two reporting approaches for the half-year reporting period from July 1 to Dec. 31. Physicians could report on all measures in a measures group for 15 consecutive patients with the relevant condition or 80% of eligible patients.
Six options are registry-based:
▸ CMS will allow three reporting options for a full-year reporting period. Those who chose to report on individual measures must report on 80% of applicable cases for a minimum of three measures. Physicians can also report on a measures group for 30 consecutive patients with the applicable condition or 80% of the applicable cases.
▸ CMS also has established three reporting options for reporting to a registry for a half-year from July 1 to Dec. 31. For example, physicians could report on individual measures for 80% of applicable cases for a minimum of three measures. It also is possible to report for a half-year using measures groups. For example, physicians can report on a measures group for 15 consecutive patients with the applicable condition or 80% of applicable cases.
More information about the different reporting options is available online at