decisionhealth Newsletters, Answer Books - 2010 Issue 1 (January)
Answer_Book / Quality_Reporting_Initiatives / Tips for selecting measures
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Article Overview
This article explains general considerations for selecting quality reporting measures from the 2010 specifications and submitting them on claims. It is aimed at clinicians and billing or quality-reporting staff who need to understand how individual practitioner performance is assessed, how measure requirements vary, and what kinds of reporting elements are involved in the process.
Why This Topic Matters
Choosing and reporting measures correctly affects whether a practitioner can meet the required reporting threshold and how performance is evaluated. The article is relevant for practices coordinating quality reporting across multiple clinicians and for staff handling claim-based submission workflows.
What You Will Learn
- How measure selection works across a reporting year
- How individual practitioner performance is evaluated within a group setting
- What kinds of patient and claim details should be checked when reviewing measure requirements
- Why timing can matter when reporting measures that apply once per patient
- How quality reporting is tied to claim submission and tracking by Medicare/CMS
Who Should Read This
- Physicians
- Group practices
- Billing staff
- Quality reporting staff
- Endocrinology practices
- Medicare-participating providers
Modifiers Discussed
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