tci Part B Insider - 2007 Issue 11

PHYSICIAN NOTES: CMS Unveils Quality Reporting Specs

Master the 1P, 2P and 3P modifiers to protect your bonusHeads up: You have less than three months to gear up to start reporting quality indicators if you want to receive an extra 1.5 percent of your claims from July through December.To help you prepare, the Centers for Medicare & Medicaid Services (CMS) released specifications, at www.cms.hhs.gov/PQRI/Downloads/Specifications_2007-02-04.pdf. For each quality measure, the document lists the CPT codes and diagnosis codes that go with it. If you report a particular CPT code and ICD-9 code together, you can see if the quality measure applies...

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