Review ArticlesThe Physicians Quality Reporting Initiative: Measure Development, Implementation and Current Procedural Terminology CodingMyles, Jonathan L. MD*; Shamanski, Fay PhD†; Witte, David MD, PhD‡Author Information *Cleveland Clinic, Cleveland, OH †College of American Pathologists (CAP), Washington, DC ‡Ottumwa Regional Health Foundation, Ottumwa, IA Reprints: Jonathan L. Myles, MD, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195 (e-mail: [email protected]). Dr Witte is the Chair of the CAP Patient Safety and Performance Measures Committee and Dr Shamanski is the CAP Assistant Director of Public Health and Scientific Affairs. Advances in Anatomic Pathology: January 2010 - Volume 17 - Issue 1 - p 49-52 doi: 10.1097/PAP.0b013e3181c69442 Buy Metrics Abstract The Physicians Quality Reporting Initiative (PQRI) was instituted in the latter half of 2007. PQRI is a voluntary reporting system in which the aim is to improve patient care, whereas at the same time, an eligible practitioner may receive an incentive payment for successful participation. Two pathology-specific measures were instituted in 2008; 1 for breast cancer reporting and the other for colon cancer reporting. In 2009, Current Procedural Terminology Category II code 3250F was instituted, which allows proper coding of cases from metastatic sites when ICD 9 code and Current Procedural Terminology Category I inclusion criteria are met. After the review of the 2007 data obtained from other specialties, submission of invalid codes was predominantly attributed to failure to adhere to measurement specifications. With increased awareness and experience, the amount of invalid code submission will decrease. More performance measures would be needed to make the program available to more pathologists. PQRI is thought by many to be the first step in transforming to a Pay for Performance Program © 2010 Lippincott Williams & Wilkins, Inc.