decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 3 (March)
Find your way through revised PQRS information to select measures for 2016
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Article Overview
This article explains how to review CMS release notes and updated PQRS resources to evaluate measure options for 2016 reporting. It is aimed at practices and providers working with PQRS claims, registry, EHR, and group practice submissions, and it highlights the kinds of program updates, reporting tools, and deadline information that affect compliance planning.
Why This Topic Matters
PQRS reporting affected quality payment outcomes and potential penalties, so understanding updated measure resources and submission timelines was important for selecting appropriate measures and avoiding reporting issues. The article helps readers orient themselves to CMS tools and calendar deadlines without replacing the full premium guidance.
Article Sections
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2016 PQRS measure updates and selection resources
Introduces CMS release notes and updated PQRS resources for reviewing measure availability and reportability in 2016. The section focuses on where to find official program materials and how the resources are organized.
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Fewer measures reportable by claims
Summarizes the claims-based reporting landscape and the CMS tools used to identify measures available through claims. It also describes ways users can search and filter the measure lists and code master resources.
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2015 PQRS submission deadlines and reporting reminders
Reviews the submission windows and operational reminders for completing prior-year PQRS reporting. The section emphasizes reporting formats, timing, and general considerations for claims-based submissions.
What You Will Learn
- How CMS organized the 2016 PQRS measure-specification materials
- What kinds of resources are available for identifying reportable measures
- How claims-based PQRS measure review differs from other reporting approaches
- What submission formats and general timing windows were relevant for PQRS reporting
- Why reporting calendars and source code accuracy mattered for prior-year submissions
Who Should Read This
- Physicians and other eligible providers
- Medical coding professionals
- Quality reporting staff
- Practice administrators
- Billing and revenue cycle teams
Codes Discussed
Code Ranges Discussed
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