tci ED Coding & Reimbursement Alert - 2010 Issue 15
Use P Modifiers When Measure Is Not Met
Medicare will still accept these patients toward PQRI total. Your ED performs a measure that might qualify for the physician quality reporting initiative (PQRI): however, the patient refuses the described PQRI treatment for religious reasons. What to do: Report the measure as you would have otherwise, with a modifier 2P (Performance measure exclusion modifier due to patient reasons) appended to the E/M code. Why? "Providers will receive credit for PQRI measures whether modified or not," says Sarah Todt, RN, CPC, CEDC, associate director for QA and compliance at MRSI Inc. in Woburn, Mass. Any time your ED physician...
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