Heading off PQRI glitches

Why This Topic Matters

Quality reporting can affect whether claims are counted correctly and whether a practice meets Medicare reporting expectations. Understanding the operational pitfalls described here can help cardiology organizations monitor their workflows and prepare for upcoming measure changes.

Article Sections

1. PQRI reporting issues in cardiology practices

   An overview of early reporting problems seen in cardiology settings during Medicare’s quality reporting program. The section focuses on common operational and documentation issues affecting claims-based reporting.

2. Documentation mismatches and claim submission problems

   Discussion of situations where the information on encounter documentation, reporting forms, and submitted claims may not align. It also covers claim-processing concerns involving practice identifiers and clearinghouse handling.

3. CMS preview of the proposed 2008 fee schedule

   A summary of the article’s discussion of CMS planning for the next program year and the expected expansion of available quality measures. The section emphasizes the broader outlook for future participation rather than specific reporting mechanics.