ED Coding & Reimbursement Alert - 2007 Issue 21
PQRI: Get Extra Credit For Tracking Patients' Hemoglobin A1C More Often
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Article Overview
This piece explains last-minute questions practices had about reporting under the Physician Quality Reporting Initiative (PQRI). It focuses on diabetes quality measures, hemoglobin A1C monitoring patterns, patient age limits for the measures, and how category II quality codes are associated with diagnosis and procedure reporting. The article is aimed at physicians, practice managers, compliance staff, and coding professionals who needed guidance on PQRI participation and reporting logistics.
Why This Topic Matters
Accurate PQRI reporting affects quality-measure submission and participation in incentive programs. The article helps readers understand when measures can be reported, which patient populations are eligible, and how reporting links to diagnoses under CMS guidance.
What You Will Learn
- How PQRI diabetes measures were reported on a recurring basis
- What the article says about hemoglobin A1C tracking for quality reporting
- Which patient age group was eligible for the diabetes measures
- How category II quality codes relate to diagnoses and procedures in PQRI reporting
- How multiple quality measures are handled in reporting
Who Should Read This
- Physicians
- Practice managers
- Compliance officers
- Quality managers
- Medical coders
- Billing staff
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