Professionals Not Eligible to Participate in the Physician Quality

20.2 – Professionals Not Eligible to Participate in the Physician Quality Reporting System and Not Qualified to Earn an Incentive Payment (Rev. 10, Issued: 07-27-12, Effective: 10-29-12, Implementation: 10-29-12) Providers and professionals not defined as eligible professionals are not eligible to participate in the Physician Quality Reporting System and do not qualify for an incentive. Services payable under fee schedules or methodologies other than the Medicare PFS are not included in the Physician Quality Reporting System (for example, services provided in federally qualified health centers, independent diagnostic testing facilities, portable x-ray suppliers, independent laboratories, hospitals [including critical access], rural health clinics, ambulance providers, and ambulatory surgery center facilities). In addition, suppliers of durable medical equipment (DME) are not eligible for the Physician Quality Reporting System since DME is not based on or paid under the Medicare PFS.