decisionhealth Newsletters, Part B News - 2006 Issue 12 (December)
How the new quality reporting system will work
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Article Overview
This article describes how a Medicare quality reporting bonus program is expected to operate, including reporting requirements, measure availability, payment timing, and how payments are routed to practices. It is aimed at physicians, practice managers, and coding/billing professionals who need to understand the general structure of the reporting program and its administrative implications. The discussion also references CMS guidance, federally approved measures, and the role of recognized quality organizations in the measure-setting process.
Why This Topic Matters
It helps practices understand the general framework for participating in a quality reporting incentive program, including when reporting begins, how payments are distributed, and whether a specialty may have applicable measures.
What You Will Learn
- How the quality reporting bonus program is structured at a high level
- When reporting and payment timing are expected to occur
- How measure availability may differ by specialty
- How CMS and related organizations are involved in approving measures
- How payments are administratively routed to practices
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing staff
- Health policy readers
Codes Discussed
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