Getting paid: Using perioperative temperature management to get your PQRI bonus

Why This Topic Matters

For anesthesia practices, the article summarizes the reporting framework that affected incentive eligibility and highlights the administrative steps that could determine whether submitted quality data counted properly. It is relevant to anyone responsible for PQRI submission, Medicare claims processing, or specialty-specific measure selection.

Article Sections

1. PQRI rules and regulations

   Overview of the federal quality reporting program and the general reporting framework for eligible providers. This section introduces the anesthesia-related measures available during the period discussed.

2. How to properly apply the measure

   Discussion of the broad documentation and timing requirements associated with the new anesthesia quality measure. It also identifies the kinds of procedures and patient circumstances the measure applies to.

3. Some helpful PQRI reporting tips

   Practical administrative guidance on reporting workflow, claim tracking, and checking whether quality data submissions are processed correctly. This section also touches on modifier use at a high level and common reasons reporting may fail.

4. Qualifying without reporting 3 measures

   Explanation of the alternative measure-clustering approach and the CMS verification process used to determine whether fewer than three measures may still satisfy program requirements. It also notes specialty guidance and reporting-period considerations.