decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 3 (March)
Mind your modifiers: Know your exclusion modifiers to accurately report quality measures
Subscribe or sign in to view the full article.
Article Overview
This article covers exclusion modifiers in the Physician Quality Reporting System and why modifier availability depends on the specific quality measure being reported. It is aimed at clinicians, coders, and quality-reporting staff who need a general understanding of modifier use, documentation expectations, and measure-specific reporting considerations.
Why This Topic Matters
Quality measure reporting can be affected by whether a required action was performed and whether an allowed exclusion modifier is available for the measure. Understanding the article helps readers identify when reporting options differ across measures and what documentation review issues may arise.
Article Sections
-
Exclusion modifiers for quality reporting
Introduces the exclusion modifiers discussed in connection with the Physician Quality Reporting System and describes the overall reporting context.
-
Measure-specific modifier availability
Compares how different measures may allow different modifier combinations and notes that requirements can vary by measure group or individual measure.
-
Documentation and internal review considerations
Discusses the need to verify documentation and to review measure-level reporting choices before submission.
What You Will Learn
- The general role of exclusion modifiers in quality reporting
- Why modifier availability can differ from one measure to another
- What kinds of documentation review considerations are associated with modifier use
- How reporting considerations may vary across individual measures and measure groups
Who Should Read This
- Clinicians
- Medical coders
- Quality reporting staff
- Practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com