decisionhealth Newsletters, Part B News - 2009 Issue 3 (March)
Another error found in PQRI program; CMS fixing problem
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Article Overview
This article covers a CMS issue in the Physician Quality Reporting Initiative (PQRI) affecting a radiology measure and the agency’s plan to correct the problem without disadvantaging providers. It is relevant to radiology practices, physician quality reporting staff, and coding professionals tracking Medicare quality-reporting updates, measure requirements, and CMS guidance for 2009. The article also places the issue in the context of other PQRI-related errors and related program updates.
Why This Topic Matters
Accurate PQRI reporting can affect whether providers qualify for quality-reporting incentives, so changes or corrections to measures and code lists can have direct operational and financial impact.
Article Sections
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PQRI radiology measure error
Introduces the reporting problem affecting a radiology quality measure and the CMS response to the publication error.
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Measure 145 details
Summarizes the measure context, the size of the service-code set involved, and the reporting framework for the 2009 program.
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Related CMS PQRI updates
Notes other PQRI reporting issues and additional CMS program actions referenced in the article.
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Program background and developer involvement
Describes the broader 2009 PQRI program context, including measure development and CMS comments on the error source.
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CMS correction approach
Explains the general method CMS said it would use to address the problem and protect providers from adverse impact.
What You Will Learn
- The scope of a PQRI radiology measure affected by a publication error
- How CMS responded to a quality-reporting measure issue
- The broader context of 2009 PQRI program updates and corrections
- Which organizations were involved in developing the measure
Who Should Read This
- Radiology coders
- Physician quality reporting staff
- Revenue cycle teams
- Medical practice administrators
- Compliance professionals
Modifiers Discussed
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