More than one provider on the same patient okay under PQRI

Why This Topic Matters

It helps practices understand the general structure of early PQRI reporting and the operational changes needed to support quality measure submission. The article is relevant to organizations preparing staff, workflows, and billing systems for CMS quality reporting requirements.

Article Sections

1. PQRI reporting guidance

   Overview of CMS guidance on reporting the same quality measures for a patient and the general context of the 2007 PQRI program.

2. Coding specifications and modifiers

   Discussion of the coding specification file, the shift toward quality reporting code sets, and the modifiers referenced in the program guidance.

3. Reporting frequency and measurement period

   General explanation of how reporting frequency is tied to the measurement period for certain measures.

4. Administrative burden likely to be heavy

   Broad guidance on staffing, workflow planning, and operational preparation for participating practices.

5. Abstract it

   Comments on chart abstraction as an operational approach some practices may consider for quality reporting support.

6. Use logic

   General discussion of using electronic systems and claim data to help identify when quality reporting may be needed.

7. Still to come

   Notes on future CMS guidance and possible reporting expansion discussed in the article.