decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 8 (August)
Group practice PQRI participation allowed – but with ‘large’ caveat
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Article Overview
This article reviews proposed updates to the Medicare PQRI program for 2010 and explains why they matter to physicians, group practices, and coding staff. It covers the move toward allowing group practice participation, the initial size limitation for that option, and the broader shift in quality reporting policy away from a claims-based approach over time.
Why This Topic Matters
The proposed changes affect how eligible professionals and group practices may qualify for incentive payments and how quality data may be reported. Practices following PQRI reporting should understand the scope of the new participation option and the reporting-method changes being discussed by CMS.
What You Will Learn
- How the proposed 2010 PQRI changes affect participation by group practices
- What broader reporting-method changes CMS is considering for PQRI
- Why the article flags the group practice proposal as significant for practices and coders
- Where to find the cited official Medicare fee schedule discussion
Who Should Read This
- Physicians
- Group practice administrators
- Medical coders
- Practice managers
- Quality reporting staff
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