Steer clear of these frequent PQRS errors

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a CMS report on Physician Quality Reporting System (PQRS) participation and highlights the most common reporting problems seen in claims-based, registry, and electronic health record submissions. It is aimed at coders, quality reporting staff, and billing teams who need a high-level understanding of PQRS reporting pitfalls and the types of issues CMS found in 2012 experience data.

Why This Topic Matters

PQRS reporting accuracy affected whether eligible professionals could satisfactorily submit quality measures and have their reporting counted. Understanding the categories of common errors helps organizations review their quality reporting workflows and reduce avoidable submission problems.

What You Will Learn

  • The main categories of PQRS reporting errors reported by CMS
  • How reporting issues differed across claims, registry, and EHR submission methods
  • What the CMS 2012 Physician Quality Reporting Experience report highlighted about participation outcomes
  • Why certain reporting workflow problems can prevent successful quality reporting

Who Should Read This

  • Medical coders
  • Quality reporting staff
  • Billing and reimbursement teams
  • Practice managers
  • Compliance staff

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