decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 4 (April)
Steer clear of these frequent PQRS errors
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Article Overview
This article reviews a CMS report on Physician Quality Reporting System (PQRS) participation and highlights recurring reporting problems seen in claims-based, registry, and electronic health record submissions. It is aimed at providers, coders, and quality reporting staff who want to understand the general categories of PQRS errors discussed in Medicare’s 2012 experience report and why careful reporting review matters.
Why This Topic Matters
PQRS reporting affected provider quality submission performance and participation results, so understanding common error patterns can help organizations review reporting workflows and avoid preventable submission problems.
What You Will Learn
- The main categories of PQRS reporting errors described by CMS
- How reporting issues can differ across claims, registry, and EHR submission methods
- Why Medicare participation statistics in the report are relevant to quality reporting review
- What types of general data quality problems were noted in the CMS experience report
Who Should Read This
- Physician coders
- Quality reporting staff
- Practice managers
- Billing teams
- Healthcare compliance personnel
- Providers participating in Medicare quality reporting
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