decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 8 (August)
CMS zaps cataract and ARMD measures from PQRI for 2008
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Article Overview
This article explains upcoming changes to CMS’s Physician Quality Reporting Initiative (PQRI) as they affect eye care. It is aimed at ophthalmology practices, coders, billers, and compliance staff who report quality measures for Medicare. The piece summarizes which ophthalmic measures are expiring, which measures continue for 2008, and several practical program notes about reporting, software handling, and Medicare participation.
Why This Topic Matters
Practices that report ophthalmology quality measures need to know which PQRI measures are ending and which remain available so they can avoid reporting on discontinued measures and stay aligned with Medicare quality reporting requirements.
Article Sections
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PQRI measure changes for ophthalmology
Overview of which eye-related quality measures are no longer available for the next reporting year and which categories continue to be relevant to ophthalmology practices.
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Available 2008 ophthalmology measures
Summary of the ophthalmology measures that remain in the program, including glaucoma and diabetic retinopathy reporting topics and related participation notes.
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Reporting experience and practice observations
Comments from a practice about workflow, vendor software acceptance, and the general reporting process for PQRI submissions.
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CMS rationale and program background
A brief explanation of the proposed basis for removing certain measures and a recap of PQRI terminology and participation context.
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PQRI facts
General informational notes about the PQRI program, including how it is described in Medicare communications, the scope of measures, and broad participation parameters.
What You Will Learn
- Which ophthalmology-related PQRI measures are changing for the upcoming year
- What broad categories of eye-care reporting remain available
- How the article frames Medicare PQRI participation for ophthalmology practices
- What general program notes are mentioned about reporting workflow and system handling
Who Should Read This
- Ophthalmology coders
- Medical billers
- Practice managers
- Compliance staff
- Ophthalmologists
- Quality reporting staff
Codes Discussed
Modifiers Discussed
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