decisionhealth Newsletters, Answer Books - 2009 Issue 7 (July)
Pay for Performance / Tips to prepare your practice for P4P
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Article Overview
This article introduces pay-for-performance concepts for physician practices and explains why Medicare’s PQRI program prompted greater attention to performance reporting. It discusses general preparation topics such as staff responsibility, review of reporting requirements, documentation and tracking methods, and ongoing process improvement. The content is relevant to practices that want to understand the operational and reporting considerations involved in P4P participation.
Why This Topic Matters
Pay-for-performance programs affect how practices organize documentation, reporting, and quality measurement. This article helps readers assess whether their practice is prepared for Medicare-linked quality initiatives and the workflow changes those programs may require.
What You Will Learn
- How pay-for-performance fits into Medicare quality reporting initiatives
- What operational areas a practice should review before participating in P4P programs
- Why documentation, tracking, and periodic evaluation matter for performance reporting
- How quality reporting programs relate to common preventive and chronic care services
Who Should Read This
- Physician practices
- Medical office managers
- Coders
- Quality reporting staff
- Billing staff
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