General Surgery Coding Alert - 2015 Issue 3
PQRS 2015: Check Out The Emergency Medicine Reporting PQRS Cluster
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Article Overview
This premium article covers emergency medicine participation in the 2015 Physician Quality Reporting System (PQRS) and the CMS Measures Applicability Validation (MAV) process. It discusses how emergency physicians and group practices may be affected by cluster-based reporting expectations, cross-cutting measure requirements, and downstream payment impacts tied to successful reporting. The piece is aimed at physicians, non-physician practitioners, coding and reimbursement staff, and practice managers who need to understand the general reporting framework and its implications.
Why This Topic Matters
It helps emergency medicine practices understand whether their current quality reporting approach aligns with CMS’s 2015 PQRS framework and the potential payment consequences of unsuccessful reporting.
What You Will Learn
- The structure of 2015 PQRS reporting as it relates to emergency medicine
- How CMS’s MAV process affects emergency care reporting
- The role of cluster-based reporting and cross-cutting measures
- General reporting considerations for physicians, non-physician providers, and group practices
- How PQRS reporting can affect future Medicare payment adjustments
Who Should Read This
- Emergency physicians
- Non-physician practitioners
- Medical coders
- Reimbursement specialists
- Practice managers
- Quality reporting staff
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