decisionhealth Newsletters, Part B News - 2009 Issue 4 (April)
CMS details radiology codes that don't belong in PQRI
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Article Overview
This article covers a CMS clarification about Physician Quality Reporting Initiative (PQRI) reporting for a fluoroscopic quality measure that included non-fluoroscopic procedures. It is aimed at physicians, coders, and quality-reporting staff who need to understand which encounters are affected, what broad reporting approach CMS describes, and why the update matters for year-end PQRI participation results.
Why This Topic Matters
The piece matters because it addresses a reporting issue that could affect PQRI measure performance and the calculation used to determine participation results. It helps readers recognize that CMS provided special handling for a defined set of encounters tied to one quality measure.
What You Will Learn
- How CMS addressed a PQRI reporting issue involving a fluoroscopy-related measure
- What general type of reporting treatment CMS described for affected encounters
- Why the update could influence PQRI participation calculations and outcomes
- Which broad clinical and procedural areas were implicated in the reporting clarification
Who Should Read This
- Physicians
- Medical coders
- Quality reporting staff
- Revenue cycle professionals
- Radiology practices
Codes Discussed
Modifiers Discussed
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