decisionhealth Newsletters, Part B News - 2008 Issue 5 (May)
Preventive Care measure has pitfalls
Subscribe or sign in to view the full article.
Article Overview
This brief CMS-focused article is for clinicians, billing staff, and coding professionals who report preventive care measures through the Physician Quality Reporting Initiative. It covers the overall structure of the preventive care measure series, how claim submission limitations can affect reporting, and why scope-of-practice constraints may affect whether the measure group can be completed as required.
Why This Topic Matters
Correctly understanding how the preventive care measure series is reported can help avoid failed submissions and compliance problems when using claims-based quality reporting.
What You Will Learn
- How the CMS preventive care measure series fits into the Physician Quality Reporting Initiative
- Why claim-processing limitations can affect reporting of measure groups
- How scope-of-practice restrictions may impact a provider’s ability to report a full measure group
- Why reporting requirements differ between female and male patients at a high level
Who Should Read This
- Physicians
- Nonphysician practitioners
- Coders
- Billing staff
- Clearinghouses
- Billing agencies
- Quality reporting staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com