Start Reporting PQRI Now to Recoup Bonus

Why This Topic Matters

It helps ED coding and billing staff understand how PQRI participation was being positioned for Medicare reporting in 2008 and what kinds of claim elements the article discusses at a broad level. Readers can use it to decide whether they need the premium article for measure-specific reporting details and claim setup guidance.

Article Sections

1. Medicare PQRI background and 2008 reporting period

   Introduces the 2008 reporting cycle and explains the article’s focus on emergency department participation in Medicare quality reporting. It also frames the broader purpose of PQRI and the general incentive concept.

2. Meeting the reporting threshold

   Summarizes the participation threshold discussed in the article and the general reporting volume needed for the Medicare bonus. It also notes the article’s emphasis on selecting measures most relevant to an emergency department setting.

3. Reporting mechanics for ED claims

   Describes the general claim components involved in PQRI reporting for emergency department encounters. The section covers diagnosis and service documentation, category II reporting, and the use of support materials from Medicare and the AMA.

4. Modifiers when the measure is not met

   Explains that the article addresses situations where the specified quality action is not performed and discusses the use of reporting modifiers. It also includes a practical illustration of how the article applies those reporting concepts to an ED encounter.