SPECIAL PQRI CRASH COURSE: Alert--Your Physician May Be Meeting Quality Measures, But Not Documenting

Why This Topic Matters

PQRI reporting depends on accurate capture of documented quality measures, so practices need systems that help clinicians record what they already do and help staff identify the supporting information. Understanding the workflow changes and reference resources discussed here can improve reporting readiness and reduce missed reporting opportunities.

Article Sections

1. Preparing practices for PQRI participation

   An overview of how different practices are adapting their workflows and documentation habits for PQRI reporting. The section introduces the operational changes discussed throughout the article.

2. Encounter forms, reference sheets, and chart review

   Examples of how staff are adding reporting prompts to forms and creating reference tools to help identify relevant diagnoses and measures. It also discusses ways coders review charts for documentation supporting quality reporting.

3. Hospital documentation and software support

   Discussion of obtaining documentation from hospital sources and using software tools or addenda to capture reporting information. The section also addresses coordination with vendors to ensure systems can accept PQRI-related entries.

4. Modifiers and reporting exceptions

   An explanation of the modifiers referenced in the article and the situations they are intended to address in PQRI reporting workflows. The section emphasizes the documentation challenges associated with capturing exceptions.