PQRI: Master Modifiers To Avoid Losing Out On Reimbursement

Article Overview

This article is a practical overview of 2008 PQRI reporting for coders and billing staff. It covers how participation works on Medicare claims, the general reporting cadence and threshold concepts, the use of PQRI-specific modifiers, the role of ICD-9 and CPT on claims, and the basic incentive framework tied to successful quality reporting. It is aimed at professionals who need to understand whether the article applies to their billing and quality reporting processes without exposing the underlying measure-level details.