decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 2 (February)
Quality reporting: Find your way through revised PQRS information to select measures for 2016
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Article Overview
This article explains how providers and coding staff can use CMS PQRS 2016 resources to review revised measure specifications and identify measures that may fit their reporting workflow. It covers the updated presentation of measure information, the distinction between claims and registry reporting, and the main CMS tools and files used to browse measure lists and associated code references. The article is relevant to practices preparing for annual quality reporting and trying to avoid reporting-related penalties.
Why This Topic Matters
Quality reporting requirements change over time, and this article helps practices understand where to look for updated PQRS measure information before selecting measures for 2016 reporting. It is especially useful for teams responsible for claims-based quality reporting, registry reporting, and reviewing CMS documentation tied to practice performance and compliance.
Article Sections
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Measure specification updates and revised reporting resources
Introduces the annual review of CMS PQRS measure materials and the updated way measure information is organized for 2016. It also notes that prior measures may be revised and that new reference files are available.
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Fewer measures reportable by claims
Explains how the 2016 claims-reportable measure set is smaller and points readers to the CMS tools and files used to review claims-based measures. The section outlines general ways to search and filter the available measure lists.
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Cross-cutting reporting reminder and practice-level implications
Summarizes a general reporting reminder about face-to-face providers and the broader impact of PQRS participation across a practice. It also highlights the relationship between reporting participation and value-based modifier consequences.
What You Will Learn
- How CMS presents revised PQRS 2016 measure information
- Where to find the main CMS resources used for measure selection
- How claims-based and registry-based measure review resources differ
- What broad reporting considerations practices should keep in mind when preparing for PQRS
Who Should Read This
- Medical coders
- Quality reporting staff
- Practice managers
- Physician office staff
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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