New codes, revised specs released by CMS for PQRI

Why This Topic Matters

Practices reporting PQRI measures needed to review revised CMS specifications and updated quality coding options to stay aligned with the 2007 reporting requirements. The article also highlights fee schedule changes that may affect billing workflow and code selection.

Article Sections

1. PQRI code and specification updates

   Overview of CMS updates to the 2007 PQRI specifications, including newly added quality codes and revisions to measure coding combinations. The section places the changes in the context of the July program start and the updated measure set.

2. Impact on specialty reporting

   Discussion of how the updates affect reporting across several specialties and measure groups. The section notes areas where CMS added or revised codes for reporting support.

3. Changes to the 2007 Physician Fee Schedule, effective July 1

   Summary of selected Physician Fee Schedule updates that accompany the quality reporting changes. The section also covers substitutions among billing code families and fee adjustments.

4. Quality measure breakdown: Oncology measures

   A specialty-focused table outlining oncology measure reporting under PQRI. The section presents the associated quality reporting structure and linked diagnosis and procedure code groupings.