E/M Coding Alert - 2015 Issue 7
PQRS: See Which Quality Measures Apply
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Article Overview
This article explains how general surgeons can review CMS quality measures relevant to their practice under the Physician Quality Reporting System (PQRS). It highlights broad measure groups, reporting requirements, and the types of procedures and encounters that can affect eligibility for reporting. The piece is useful for surgeons, coding staff, and quality reporting teams who need a high-level view of which PQRS measure categories may be relevant and where to look for the full approved lists.
Why This Topic Matters
PQRS participation affected reporting obligations and potential penalties, so identifying applicable measures was important for general surgery practices. The article helps readers understand which broad measure categories and procedure groups were being discussed so they can determine whether the full CMS guidance is relevant to their workflow.
Article Sections
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Perioperative Care Measures
This section introduces a set of perioperative quality measures that may apply to general surgeons. It discusses the broader reporting context and the type of procedures that may fall under the related approved list.
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General Surgery Measures Group
This section outlines a separate PQRS measure group for general surgery practices. It summarizes the kinds of measure topics included and notes that reporting depends on qualifying procedures from the approved list.
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Crosscutting Measure Reporting
This section describes a reporting requirement that applies to eligible professionals and group practices. It explains the general context for selecting a cross-cutting measure when certain encounter criteria are met.
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Patient Safety Measure
This section identifies a patient safety measure and describes the general documentation focus for reporting. It places the measure within the broader PQRS reporting framework.
What You Will Learn
- Which PQRS measure groups are discussed for general surgery practices
- How CMS-approved procedure lists relate to PQRS reporting eligibility
- What the article says about cross-cutting measure reporting
- Which broad reporting categories are highlighted for quality submission review
Who Should Read This
- General surgeons
- Surgical coding staff
- Quality reporting specialists
- Practice administrators
- Medical billers
Code Ranges Discussed
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