4 lessons to take away from the 2007 PQRI reporting period

Why This Topic Matters

PQRI reporting accuracy affects whether quality data submissions are accepted and associated with the intended measure. Understanding the types of errors CMS observed helps organizations review reporting processes and reduce avoidable submission problems.

Article Sections

1. Reporting problems seen in the 2007 PQRI period

   Introduces the CMS reporting experience and summarizes the main categories of errors found in quality data submissions. It frames the article’s focus on what went wrong during the reporting period.

2. Incorrect HCPCS code reporting

   Discusses one category of reporting error involving mismatched procedure-related reporting elements. It also references CMS measure specifications and the broader resources used for reporting support.

3. Incorrect diagnosis code reporting

   Covers reporting errors tied to diagnosis information and measure matching. The section highlights problems seen in certain heart failure measures and CMS handling of split claims.

4. Wrong HCPCS and diagnosis code combinations

   Summarizes a reporting category involving combined code and diagnosis mismatches. It notes that some measures required patient-condition-related reporting elements for the denominator.

5. Wrong age bracket or gender

   Describes reporting errors related to patient demographic eligibility for measures. It includes examples from diabetes, asthma, and osteoporosis-related quality reporting.