decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 3 (March)
Quality reporting: Look to registry reporting now; be ready when CMS releases the 2016 list
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Article Overview
This article explains current Medicare physician quality reporting considerations and compares claims-based reporting with registry-based approaches. It focuses on the role of qualified registries and qualified clinical data registries, the kinds of measures each can support, and why practices should evaluate reporting vendors and approvals before the annual CMS list is released. The piece is aimed at physician practices, practice managers, and coding/compliance staff who need to understand reporting pathways and related quality program requirements.
Why This Topic Matters
Quality reporting can affect payment adjustments for physician groups, so choosing and preparing for the right reporting method has financial implications. Understanding registry options and CMS approval timing helps practices reduce the risk of missed reporting requirements.
Article Sections
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PQRS and quality reporting pressure in 2016
Introduces the reporting environment for physician practices and why quality reporting choices matter for Medicare reimbursement. Summarizes the shift in program expectations and the general implications for groups and individual providers.
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Understand the 2 types of registries
Defines the two registry categories discussed in the article and compares their general reporting roles. Also notes how each type fits into broader CMS quality reporting options.
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Qualified registry
Covers the general characteristics of one registry category, including the kinds of CMS-approved measures it can support and the practical considerations involved in using it. The section also addresses reporting scope and operational setup at a high level.
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Qualified clinical data registry
Describes the second registry category and how it differs from the first in broad reporting capability. The section outlines the general measure categories and patient-reporting expectations associated with this option.
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Think about registries now
Explains why practices should review registry options before CMS publishes the annual approval list. Highlights timing, vendor reapplication, and the need to evaluate available registry choices in advance.
What You Will Learn
- How Medicare quality reporting choices can affect physician practice payment adjustments
- The difference between claims-based reporting and registry-based reporting
- The general distinction between qualified registries and qualified clinical data registries
- Why CMS approval timing matters when evaluating registry vendors
- What types of broad reporting considerations practices should review before selecting a registry
Who Should Read This
- Physician practices
- Practice managers
- Medical coders
- Compliance staff
- Quality reporting staff
Codes Discussed
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