decisionhealth Newsletters, Part B News - 2016 Issue 1 (January)
Find your way through revised PQRS information to select measures for 2016
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Article Overview
This article explains how to review revised PQRS materials for 2016, including CMS release notes, updated measure files, and web-based tools for finding claims-reportable measures. It is aimed at practices and coding staff preparing for quality reporting, helping them understand where to look for measure specifications, how the CMS presentation of measure information changed, and what general reporting considerations may affect compliance.
Why This Topic Matters
PQRS reporting can affect quality reporting outcomes and exposure to value-based modifier penalties, so understanding the updated 2016 resources helps practices assess measure eligibility and reporting pathways before submitting data.
Article Sections
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Quality reporting
Introduces the purpose of reviewing revised PQRS materials and the need to check updated measure information before reporting for the year.
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Fewer measures reportable by claims
Summarizes the shift in claims-based measure availability and outlines the CMS tools and files used to identify measures relevant to claims reporting.
What You Will Learn
- How revised PQRS materials are organized for 2016 reporting
- Where to find CMS resources for reviewing measure specifications
- How updated claims-reporting tools and measure lists are used at a high level
- What kinds of reporting considerations practices should review before selecting measures
Who Should Read This
- Medical coders
- Quality reporting staff
- Practice administrators
- Compliance staff
- Physician practices
Codes Discussed
Code Ranges Discussed
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