decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 8 (August)
MultiSpecialty RoundUp: Primary Care
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Article Overview
This primary care roundup covers two broad areas of interest to practice administrators and coders: Medicare quality-reporting opportunities under the 2009 Physician Quality Reporting Initiative (PQRI) and a published analysis of the time and cost primary care practices spend dealing with health plan administration. It is aimed at physicians, coders, billing staff, and practice managers who need to understand the operational impact of reporting requirements and payer-related workload.
Why This Topic Matters
The article helps primary care practices identify whether the content is relevant to their reporting workflows and administrative operations. It also points readers to official CMS materials and external research that may affect quality-reporting preparation and practice management planning.
Article Sections
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Primary care in optimal position to earn 2009 PQRI dollars
Discusses the 2009 PQRI measures-group approach for primary care and references official CMS resources for specifications and supporting materials. The section also covers the operational steps involved in preparing for claims-based reporting at a high level.
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A primary care report
Summarizes a Health Affairs study about the administrative time and financial burden associated with interacting with health plans. It also points to related background resources and commentary on streamlining practice administration.
What You Will Learn
- How the article frames primary care participation in Medicare quality reporting programs
- What broad kinds of PQRI measures-group materials and CMS resources are referenced
- What the article says about administrative workload and payer interaction in primary care practices
- Which types of readers may find the roundup relevant for reporting and practice-management purposes
Who Should Read This
- Primary care physicians
- Medical coders
- Billing staff
- Practice managers
- Healthcare administrators
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