decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 5 (May)
8 new chances to jump into PQRI this summer
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Article Overview
This article reviews new CMS guidance on Physician Quality Reporting Initiative participation for 2008. It is aimed at physicians, practice managers, and coding staff who need to understand available reporting pathways, reporting periods, and the broad structure of measures groups and registry-based submission options.
Why This Topic Matters
It helps practices evaluate whether they can begin or expand quality reporting during the year and understand the general administrative differences between traditional, claims-based, and registry-based participation.
Article Sections
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Overview of new PQRI participation options
Introduces the expanded reporting opportunities announced by CMS and summarizes the kinds of practices that may benefit from them.
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Incentive payment and potential practice impact
Discusses the general financial incentive associated with participation and the potential operational value for medical practices.
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Background and CMS mandate
Explains the legislative context behind the new options and the CMS officials involved in the program rollout.
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Mandates for alternative reporting periods and criteria
Describes the new reporting window options and the broader categories of reporting criteria made available under the program changes.
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Measures groups
Summarizes the concept of measures groups, how they are organized, and the general way they are reported.
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Claims-based example and reporting considerations
Provides a broad example of how the claims-based approach works and notes practical issues practices may need to consider.
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Important facts to keep in mind when reporting PQRI
Highlights general participation issues, including backup reporting considerations, registry-related differences, and patient-count requirements.
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Official Resources
Lists CMS resource links for additional program information and supporting documents.
What You Will Learn
- What new PQRI participation pathways CMS introduced for 2008
- How alternate reporting periods fit into the program
- What measures groups are in general terms
- How registry-based reporting differs from claims-based reporting at a high level
- What kinds of practices the article says may find the new options useful
Who Should Read This
- Physicians
- Primary care practices
- Medical coders
- Billing staff
- Practice managers
- Quality reporting staff
Codes Discussed
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