NPP Report: Health reform bill mandates NPP participation in PQRI by 2015

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains how health reform changes affect non-physician practitioners in Medicare, with emphasis on quality reporting participation, payment adjustments, therapy cap policy, and new payment and care delivery initiatives. It is relevant to physicians, NPPs, practice administrators, coders, and compliance staff who track Medicare policy updates and implementation guidance from CMS and related organizations.

Why This Topic Matters

The article summarizes policy changes that may affect reporting obligations, reimbursement, and care delivery planning for practices employing or billing for non-physician practitioners.

Article Sections

  1. PQRI participation and payment changes

    Overview of quality reporting requirements and Medicare payment adjustments tied to broader health reform changes. The section also summarizes timing-related updates affecting NPP participation.

  2. Other NPP-related provisions in the health reform law

    Summary of additional program changes affecting non-physician practitioners, including Medicare demonstration initiatives, primary care payment topics, and education-related funding provisions.

  3. Therapy cap extension and modifier use

    Discussion of Medicare therapy cap policy updates and the claim-processing topic associated with therapy services.

What You Will Learn

  • How health reform affects Medicare quality reporting for non-physician practitioners
  • What categories of payment changes and incentives are discussed for NPPs
  • Which broader Medicare program updates are mentioned for practices and providers
  • How the article frames therapy cap policy and related claim considerations

Who Should Read This

  • Non-physician practitioners
  • Physicians
  • Practice administrators
  • Medical coders
  • Compliance staff
  • Billing staff
  • Medicare-focused healthcare professionals

Modifiers Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?