BC Advantage - 2015 Issue 5
PQRS Gets More Complicated as 48 Measures are Retired
Subscribe or sign in to view the full article.
Article Overview
This article covers Medicare’s Physician Quality Reporting System (PQRS) and the reporting changes that affected providers when many measures were retired in 2015. It is aimed at physicians, billers, coders, and practice staff who need to understand PQRS reporting, CMS resources, and the general categories of reporting methods used for Medicare quality submission. The discussion focuses on measure retirement, reporting workflow, and the importance of checking current CMS measure information before submitting claims or registry data.
Why This Topic Matters
PQRS reporting affected Medicare reimbursement and potential penalties, so outdated measures or codes could lead to rejected claims or missed reporting credit. The article helps readers recognize why current CMS guidance matters for quality reporting compliance.
Article Sections
-
PQRS changes and reporting requirements
Introduces the 2015 PQRS environment, including the retirement of many measures and the broader reporting context for Medicare providers.
-
Reporting methods and measure selection
Summarizes the general ways PQRS information can be submitted and explains that measure selection depends on the service being reported.
-
Depression-related measure considerations
Discusses how one depression-related measure was affected by the retirements and points readers to another depression-focused measure that may be relevant.
-
Checking current CMS guidance
Describes the importance of using current CMS resources to confirm active measures and avoid rejected reporting.
-
Penalty risk and reporting completeness
Explains the relationship between reported instances, Medicare reporting compliance, and the possibility of penalties when reporting is incomplete.
What You Will Learn
- How PQRS changed for the 2015 reporting period
- What general submission methods were discussed for PQRS reporting
- Why retired measures can affect claim acceptance and reporting credit
- How current CMS resources support PQRS reporting compliance
- Why documentation and reporting completeness matter in the PQRS process
Who Should Read This
- Physicians
- Medical billers
- Medical coders
- Practice managers
- Mental health providers
- Billing staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com