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Under PQRI, covered professional services are those paid based on the Medicare Physician Fee Schedule. To the extent eligible professionals are providing services which get paid under the Medicare Physician Fee Schedule, those services are eligible for PQRI. TRHCA section 101 defines "eligible professional" as the following: - Medicare physician, as defined in Social Security Act (SSA) section 1861(r)
- Doctor of Medicine
- Doctor of Osteopathy
- Doctor of Podiatric Medicine
- Doctor of Optometry
- Doctor of Oral Surgery
- Doctor of Dental Medicine
- Chiropractor
- Practitioners described in SSA section 1842(b)(18)(C)
- Physician Assistant
- Nurse Practitioner
- Clinical Nurse Specialist
- Certified Registered Nurse Anesthetist
- Certified Nurse Midwife
- Clinical Social Worker
- Clinical Psychologist
- Registered Dietician
- Nutrition Professional
- Therapists
- Physical Therapist
- Occupational Therapist
- Qualified Speech-Language Therapist
Eligible professionals who plan to participate in 2007 PQRI should familiarize themselves and their office staff with the PQRI measures that appear to apply to their patients.
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Last Updated ( Sunday, 20 April 2008 )
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