decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 7 (July)
Quality reporting: Pain management practices can go for the quality payment bonus in 90 days
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Article Overview
This article explains how pain management practices can approach the 2017 Quality Payment Program during the transition to value-based reimbursement. It outlines the main reporting categories, the general timeframes involved, and the kinds of measures and activities that may be relevant for providers using claims-based reporting or EHR-supported reporting. The piece is aimed at clinicians and coding/billing staff who need a high-level view of the program’s reporting structure and documentation expectations.
Why This Topic Matters
It helps pain management practices understand the basic structure of the 2017 quality payment framework and assess whether their current workflow, documentation, and EHR capabilities align with reporting opportunities and potential payment consequences.
Article Sections
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Quality Payment Program overview
Introduces the 2017 program environment and the shift toward quality-based payment. It frames the reporting categories available to providers.
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90 days is all it takes
Discusses the abbreviated reporting window and general timing considerations for providers who are starting late. It explains the article’s emphasis on moving from partial participation to broader reporting.
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Report 6 quality measures
Summarizes the quality category at a high level and notes the types of claims-based measures highlighted for pain management practices. It also describes the general selection considerations for choosing measures.
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Perform 4 improvement activities
Covers the improvement activities category, its weighting structure, and the idea of aligning activities with quality reporting. It also notes documentation and audit considerations.
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5 advancing care information actions
Describes the advancing care information category and the broad types of EHR technology tracks referenced. It includes general commentary on documentation and security-related expectations.
What You Will Learn
- How the 2017 Quality Payment Program is structured for pain management practices
- Which broad reporting categories are discussed in the article
- What kinds of quality measures and improvement activities are emphasized
- How EHR capability affects advancing care information reporting
- Why documentation and audit readiness matter in the reporting process
Who Should Read This
- Pain management providers
- Physicians
- Non-physician practitioners
- Medical coders
- Medical billers
- Practice administrators
- Compliance staff
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