CMS adds 5 prostate cancer PQRI measures for 2008

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the 2008 CMS PQRI update as it relates to urology-focused reporting. It covers newly added prostate cancer and chronic kidney disease measures, the existing incontinence measures, how PQRI reporting fits with Medicare claims, and the general structure of the measure tables and reporting options used in the program. It is relevant to urologists, coders, and practices tracking quality-reporting requirements for Medicare.

Why This Topic Matters

The article helps readers understand which quality-reporting measures were added for 2008 and how CMS organized the related reporting framework. It is useful for practices that need to recognize the scope of the PQRI program and review the measure categories involved in Medicare quality reporting.

Article Sections

  1. PQRI measures for 2008

    Overview of the 2008 PQRI update, including the broad measure categories added for urology-related reporting and how they relate to Medicare quality reporting.

  2. Prostate cancer measures

    Summary of the prostate cancer measure group identified for urologists and the general topics each measure addresses.

  3. Chronic kidney disease measures

    Summary of the chronic kidney disease measure group and the broad areas covered by the reporting measures.

  4. Existing incontinence measures

    Description of the previously established incontinence measures that remained applicable in 2008.

  5. How PQRI reporting works

    General discussion of PQRI reporting in relation to Medicare claims, participation, and the program’s documentation and filing framework.

  6. PQRI prostate cancer measures and codes for 2008

    A table-style presentation of the prostate cancer PQRI measures, associated reporting identifiers, and related claim-processing information.

What You Will Learn

  • The scope of the 2008 PQRI updates affecting urology
  • Which broad prostate cancer and kidney disease measure categories were added
  • How existing incontinence measures fit into the 2008 program
  • How PQRI reporting is described in relation to Medicare claims
  • What kinds of reporting identifiers are listed in the article’s measure table

Who Should Read This

  • Urologists
  • Medical coders
  • Billing staff
  • Practice administrators
  • Quality reporting staff

Codes Discussed

Code Ranges Discussed

  • ICD-9: 4164-8P
  • ICD-9: 4165-8P

Modifiers Discussed


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