June 17, 2009 08:29 ET

NCQA Diabetes and Back Pain Recognition Programs Approved by Medicare Physician Quality Reporting Initiative for 2009

Submitting NCQA Data to PQRI Program Streamlines Reporting for Providers

WASHINGTON, DC--(Marketwire - June 17, 2009) - The National Committee for Quality Assurance (NCQA) announced today that two of its popular Recognition Programs have been designated by the Centers for Medicare & Medicaid Services (CMS) as registries for quality reporting. Physicians, chiropractors and nurse practitioners who have earned Recognition from NCQA through the Diabetes and Back Pain Recognition Programs may opt to have NCQA submit their clinical data to Medicare for use in the Physician Quality Reporting Initiative (PQRI).

Providers participating in Medicare's PQRI program receive financial rewards for collecting and reporting performance data. In 2009, the reward is equal to 2 percent of each Medicare claim. Using NCQA data to qualify for the PQRI allows NCQA-Recognized providers seeking PQRI qualification to streamline their reporting and devote more resources to patient care. Last year, NCQA's Recognition Program for diabetes care was designated as a PQRI registry; 560 Recognized physicians took advantage of the opportunity to have NCQA submit data to CMS.

In 2009, eligibility for PQRI reporting will be expanded to include providers who have earned Recognition through NCQA's Back Pain Recognition Program. More than 100 providers currently hold Recognition for excellent back pain care.

"Physicians and others who participate in PQRI through NCQA Recognition enjoy the two-fold benefit of being recognized for superb care, as well as being rewarded by Medicare for reporting clinical data," said NCQA President Margaret E. O'Kane. "We're pleased to be able to expand this benefit this year to include providers recognized for excellent care for back pain."

Participation through NCQA's PQRI registry is open to all interested providers. Interested providers can submit data to NCQA for the 2009 PQRI registry through January 31, 2010. Further details, including instructions and frequently asked questions, will be posted in the near future to the NCQA Web site at

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA accredits and certifies a wide range of health care organizations and recognizes physicians in key clinical areas. NCQA is committed to providing health care quality information through the Web, media and data licensing agreements in order to help consumers, employers and others make more informed health care choices.

Contact Information

    Lauren Funk
    (202) 955-1705