decisionhealth Newsletters, Part B News - 2007 Issue 7 (July)
PQRI off to 'smooth start' for some, but bumps remain
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Article Overview
This article covers early reporting experiences with the Physician Quality Reporting Initiative (PQRI) as practices begin submitting quality information for Medicare participation. It discusses the kinds of operational issues some providers, billing teams, and clearinghouses encountered, along with carrier processing problems and CMS concerns that affected reporting workflows. The piece is relevant to physician practices, billing staff, coding professionals, and practice managers monitoring Medicare quality-reporting participation.
Why This Topic Matters
It helps readers understand the early administrative and technical challenges associated with PQRI participation and why claims workflow, clearinghouse handling, and reporting setup mattered to successful submission.
What You Will Learn
- How early PQRI participation was going for different practices
- What kinds of billing and clearinghouse problems were reported
- How practices were managing reporting workflows for quality submission
- Why carrier and CMS processing issues mattered for participation
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Practice managers
- Healthcare administrators
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