decisionhealth Newsletters, Part B News - 2009 Issue 4 (April)
CMS: PQRI prostate cancer measures also have errors
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Article Overview
This article explains a CMS discussion about reporting-period errors in Physician Quality Reporting Initiative measures tied to prostate cancer radiation therapy. It is relevant to physicians, coders, and quality reporting staff who track PQRI participation, understand measure scope, and monitor how CMS evaluates claims and quality data submissions.
Why This Topic Matters
The article highlights a CMS acknowledgment of measure-related problems that could affect quality reporting workflows and incentive-payment analysis. Readers working with PQRI reporting need to understand the scope of the issue and the general CMS handling of impacted claims.
What You Will Learn
- Which PQRI measures were discussed in relation to prostate cancer radiation therapy.
- How CMS described the reporting-period coding issue at a high level.
- What CMS said about evaluating claims and quality data submissions for affected services.
- Why the issue matters for physicians participating in PQRI reporting.
Who Should Read This
- Physicians
- Medical coders
- Quality reporting specialists
- Revenue cycle staff
- Practice administrators
Codes Discussed
Code Ranges Discussed
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