decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 1 (January)
Getting paid: Use the back pain measures group to boost your revenue in ‘11
Subscribe or sign in to view the full article.
Article Overview
This article is about a Medicare quality reporting measures group for back pain and how clinicians can use it for 2011 reporting. It is relevant to pain management practices, surgeons, primary care clinicians, and other eligible providers who submit quality measures on claims. The article covers the broad structure of the measures group, eligible patient criteria, claim-level reporting, and the codes referenced in the reporting instructions and eligibility chart.
Why This Topic Matters
Clinicians and billing staff need to understand this measures group because it affects quality reporting participation, claim completion, and whether a practice can qualify for a bonus tied to reporting performance.
Article Sections
-
Overview of the 2011 quality reporting bonus
Introduces the reporting opportunity for the year and explains the general purpose of the quality reporting bonus. It also notes the clinician types who may participate.
-
How to report the back pain measures group
Describes the available reporting approaches at a broad level and the patient population addressed by the measures group. It outlines the overall structure of the measures without giving coding details.
-
Measures group components
Summarizes the individual components that make up the back pain measures group and the related composite reporting concept. It also notes that component definitions are available separately.
-
Claim reporting and notification
Explains the general claim-level elements needed for the measures group and the need to notify the Medicare contractor of intent to report. It also mentions the claim review and denial notice process.
-
Back pain measures group eligibility chart
Presents the encounter and diagnosis code eligibility information associated with the back pain measures group. The chart links patient age, procedure/visit categories, and diagnosis categories.
What You Will Learn
- The purpose of the back pain quality reporting measures group
- Which kinds of clinicians may participate in the reporting program
- How the measures group is structured at a high level
- What types of claim elements are associated with reporting the group
- What eligibility information is tied to the back pain reporting chart
Who Should Read This
- Pain management practices
- Physicians
- Physician assistants
- Nurse practitioners
- Certified Registered Nurse Anesthetists
- Anesthesia Assistants
- Billing staff
- Quality reporting staff
- Medical coders
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com