General Surgery Coding Alert - 2010 Issue 15
Use P Modifiers When Measure Is Not Met
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Article Overview
This article covers how PQRI reporting is handled when a patient does not receive the described measure-related service, including the general use of performance measure exclusion and reporting modifiers. It is aimed at emergency department, physician, and coding/compliance professionals who track quality reporting and need to understand how these situations are represented in reporting workflows.
Why This Topic Matters
Quality reporting can affect how performance is captured for Medicare programs, so understanding the applicable modifier categories helps clinicians and coders document measure exceptions consistently within PQRI reporting processes.
What You Will Learn
- How PQRI reporting is addressed when a measure is not fully performed
- The general categories of modifier-based measure exceptions
- How quality reporting scenarios may be documented for emergency department encounters
- Why reporting discipline matters in quality measurement programs
Who Should Read This
- Emergency department coders
- Physician quality reporting staff
- Compliance professionals
- Medical coders
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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