Find-A-Code Focus Newsletter

How to Request a PQRS Informal Review

By Brandy Brimhall CPC CMCO CPCO CCCPC CPMA
November 23, 2015

As you know, the PQRS (Physician Quality Reporting System) includes the reporting of particular G codes to communicate with Medicare, details of the Functional Outcome Assessment and Pain Assessment and Follow-Up measures. These measures must be completed on at least 50% of an eligible professional's active patients to avoid penalty.

Recently, letters have been sent out to practices informing practices that they have not satisfactorily reported those PQRS measures and therefore, a negative payment adjustment (penalty) will be assessed from 2016 Medicare reimbursements.

If you have received one of these letters but do believe that you have satisfactorily reported PQRS through 2014, you must act now. Medicare allows a small window of time (until 11/23/2015) for practices to request an Informal Review in which your PQRS reporting for 2014 will be re-evaluated.

For instructions to request an informal review, please click here.


share
 

More Items in November 2015


To view more items select a month from our "Items by Month" list.

Or view documentation, coding and billing articles.

 

Poll

The ideal length of a webinar should be around:

News Items by Month
March 2020- 1
February 2020- 4
January 2020- 2
December 2019- 1
November 2019- 1
October 2019- 4
September 2019- 2
August 2019- 3
July 2019- 3
May 2019- 2
April 2019- 3
March 2019- 9
February 2019- 3
January 2019- 5
2018 - View
2017 - View
2016 - View
2015 - View
2014 - View
2013 - View
2012 - View
2011 - View
2010 - View
2009 - View
2008 - View
free demo
request yours today
pricing
for any budget
sign IN
welcome back!