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) and the operational problems some practices encountered during its rollout. It discusses carrier-side claim processing issues, concerns about clearinghouses affecting reporting data, and how different medical groups responded as they tried to participate in the Medicare quality reporting program. The piece is relevant to practices, billing staff, coding managers, and anyone tracking CMS reporting implementation.
Why This Topic Matters
It highlights real-world administrative and claims-processing issues that can affect participation in a Medicare quality reporting program, making it useful for practices monitoring reporting workflows and payer interactions.
What You Will Learn
- How early PQRI participation was going for different medical practices
- What types of claims-processing and clearinghouse issues were being reported
- How practices were adapting their internal reporting workflows
- How CMS participation tracking concerns affected reporting readiness
Who Should Read This
- Physician practices
- Medical coders
- Coding managers
- Billing staff
- Practice administrators
- Revenue cycle professionals
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