decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 6 (June)
Quality reporting: Include BMI in your reporting list for a PQRS measure that’s one and done
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Article Overview
This article is a practical overview for clinicians, coders, and quality reporting staff who need to understand a Medicare quality measure related to BMI screening and follow-up planning. It discusses who the measure applies to, when it can be reported, how age affects the normal BMI range referenced in the measure, and what kinds of documentation scenarios may support reporting. The article also notes recent guideline changes and the types of encounters and resources that may be involved in completing the measure.
Why This Topic Matters
Quality reporting performance depends on selecting measures that meet program requirements and are documented correctly. This article helps practices evaluate a commonly used BMI measure and understand the general reporting considerations that can affect whether an encounter counts toward quality reporting goals.
What You Will Learn
- How a BMI-related quality measure fits into Medicare quality reporting
- Who the measure applies to and how age affects the measure population
- How timing and prior encounter information can affect reporting
- What general types of documentation support the measure
- What broad kinds of follow-up planning are referenced in the measure guidance
Who Should Read This
- Physicians and other clinicians
- Medical coders
- Quality reporting staff
- Practice managers
- Revenue cycle and compliance teams
Codes Discussed
Code Ranges Discussed
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