Medicare Compliance & Reimbursement - 2009 Issue 22
PQRI :Don't Shy Away From PQRI Just Because You Weren't in Business on Jan. 1, CMS Says
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Article Overview
This article summarizes guidance shared by CMS during a 2009 open door forum about PQRI participation and related e-prescribing reporting issues. It is useful for physicians, practice managers, coders, and compliance staff who need a general understanding of participation timing, reporting logistics, and how CMS framed certain e-prescribing scenarios for eligible professionals.
Why This Topic Matters
The piece helps practices understand the broad operational context for PQRI participation and why late-start practices or practices with pharmacy transmission issues may still need to review CMS reporting guidance.
Article Sections
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PQRI participation and reporting updates
An overview of CMS comments on PQRI participation timing, feedback reports, and payment processing updates tied to the 2007 and 2008 program cycles.
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Partial-year participation and patient attribution
Discussion of how CMS described participation for practices that began seeing patients later in the year and how patient encounters were framed for reporting purposes.
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Physician assistant and physician reporting considerations
A general explanation of how the article addresses reporting when more than one practitioner in a practice sees the same patients.
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E-prescribing regulations
Coverage of CMS guidance on e-prescribing situations involving pharmacy transmission limitations and related reporting.
What You Will Learn
- How CMS characterized late-entry participation in PQRI
- What the article says about reporting and payment timing
- How the article discusses shared patient encounters within a practice
- How CMS framed certain e-prescribing reporting situations
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Compliance staff
- Quality reporting staff
Codes Discussed
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