P4P: How pediatricians can use asthma measures

Why This Topic Matters

P4P programs can influence reimbursement and reporting workflows in pediatric offices, so understanding the related quality-measure framework helps practices prepare for payer expectations and internal tracking requirements.

Article Sections

1. Introduction to pay-for-performance and quality measures

   Introduces the broader shift toward reimbursement tied to quality measurement and the growing interest from payers in office-based reporting. It frames the article around pediatric participation and the role of performance measures.

2. Asthma as a common P4P measure

   Describes asthma as a frequently used example of performance measurement in payer programs. It explains the general focus on tracking care for patients with persistent asthma and related management activities.

3. Category II reporting for asthma measures

   Covers the use of Category II CPT reporting in asthma quality programs and the purpose of these tracking codes in reducing manual chart review. It also notes that regular CPT reporting remains part of standard billing workflows.

4. Measure timing and age applicability

   Summarizes the timing and patient-age scope noted for the asthma measures. This section addresses the general parameters associated with the measure set.