decisionhealth Newsletters, Answer Books - 2009 Issue 7 (July)
Pay for Performance / PQRI Take it step-by-step to ease angst
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Article Overview
This article explains the early Medicare Physician Quality Reporting Initiative (PQRI) at a high level and walks through general preparation steps for practices evaluating participation. It is aimed at physicians, coders, billers, and practice administrators who need to understand the reporting workflow, internal process setup, and the broader role of quality measure reporting in claims-based programs.
Why This Topic Matters
The article helps readers gauge whether PQRI-related operational guidance is relevant to their practice and highlights the kinds of internal tasks that quality reporting can affect, including claims review, documentation, systems support, and staff education.
What You Will Learn
- How the article frames Medicare PQRI as a claims-based quality reporting program
- What broad preparation areas practices may need to review before starting quality reporting
- How internal workflows, system support, documentation, and staff education are presented as part of PQRI readiness
- Why related payer quality initiatives may also be relevant to practices considering PQRI
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Health information staff
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