decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 2 (February)
GI has four GERD performance measures that can be reported
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Article Overview
This article covers gastroenterology quality measures for gastroesophageal reflux disease and explains the broader PQRI reporting framework used by clinicians who submit quality data. It is relevant to gastroenterologists, primary care physicians, and other providers who may manage patients with GERD and need to understand which measure categories exist, how reporting participation is structured, and what general types of billing and quality-reporting codes are involved.
Why This Topic Matters
Providers needed guidance on which GERD-related quality measures were available and how those measures fit into PQRI participation requirements. The article also gives context for how quality reporting can affect Medicare bonus calculations and reporting strategy.
Article Sections
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GERD quality measures introduced to PQRI
Introduces the GERD-related quality measures available for reporting and identifies the clinical audiences they are intended to reach. It also notes related GI measures under consideration.
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Key issues you need to know about PQRI
Summarizes the PQRI reporting framework, including participation thresholds, reporting expectations, and general payment considerations. It also mentions the categories of codes used to submit quality data.
What You Will Learn
- Which general GERD quality measure topics are included in PQRI reporting
- Who the GERD measures are intended to apply to
- How PQRI participation thresholds are structured
- What general types of codes are used for quality reporting
- How bonus payment concepts are described in the PQRI framework
Who Should Read This
- Gastroenterologists
- Primary care physicians
- Other physicians managing GERD patients
- Medical coders
- Quality reporting staff
- Practice administrators
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