decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 4 (April)
Expect 2 new remittance advice codes signaling valid PQRS reporting
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Article Overview
This article covers changes affecting practices participating in the 2014 Physician Quality Reporting System (PQRS), including remittance advice responses seen on explanation of benefits forms and related CMS billing guidance. It is intended for coding, billing, and revenue cycle staff who handle quality reporting claims and need to understand the broad reporting context and implementation considerations.
Why This Topic Matters
Practices reporting PQRS measures need to recognize the remittance advice patterns associated with quality data submissions and ensure their billing systems are prepared for the reporting process CMS describes.
What You Will Learn
- How PQRS reporting claims are reflected on remittance advice and explanation of benefits forms
- What broad CMS guidance is referenced for 2014 quality reporting setup
- Why billing software or electronic health record readiness matters for quality reporting claims
- How the article frames common reporting pitfalls and implementation concerns
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
- Quality reporting staff
Codes Discussed
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Quick, Current, Complete - www.findacode.com