Are
you prepared for the 2% reduction in payment for not meeting the PQRS
Guidelines ?
The 2014 Physician Quality Reporting
System program consists of 110 individual quality measures eligible for
claims-based reporting
Each
individual measure has a series of SUB-MEASURES that must be met in order to
qualify the individual measure. See
sample below:
PQRS Measure
Summary
Measurement
Code: CVP
Measure Number: 241
Measurement Name: Ischemic
Vascular Disease (IVD): Complete Lipid Panel and Low Density Lipoprotein
(LDL-C) Control
Measurement
Classification: Cardiovascular
Prevention Measures Group
Measurement
Type: PQRS
Measurement
Year: 2014
Measurement LOB: Medicare FFS Only
Ages: 18-75 Years of Age
Gender: Either
Coding Data:
Measure# Number Measure Title
2
Diabetes Mellitus: Low
Density Lipoprotein (LDL-C) Control
204 Ischemic Vascular Disease (IVD):
Use of Aspirin or Another Antithrombotic
226 Preventive Care and Screening:
Tobacco Use: Screening and Cessation Intervention
236 Hypertension (HTN): Controlling
High Blood Pressure
241 Ischemic Vascular Disease
(IVD): Complete Lipid Panel and Low Density Lipoprotein (LDL-C) Control
317 Percentage
of patients aged 18 years and older seen during the reporting period who were
screened for high blood pressure AND a recommended follow-up plan is documented
based on the current blood pressure (BP) reading as indicated
Are
you using the correct Modifier?
|
1P Performance
Measure Exclusion Modifier due to Medical Reasons
2P Performance Measure Exclusion Modifier due
to Patient Reasons
|
|
3P Performance Measure Exclusion Modifier due
to System Reasons
8P Performance
measure reporting modifier -action not performed, reason not otherwise
specified
|
Have you compiled the required log
to qualify your PQRS?
AccuChecker Online is
the one reimbursement tool that shows you the guidelines , and how to qualify
the PQRS Measure for billing requirements.
We find that in practices participating in
Pay-for-Performance activities, physicians and managing staff show excitement
about reporting HEDIS and PQRS measures for two simple reasons they receive
compensation from Medicare and Managed Care Plans for enforcing
Pay-for-Performance measures and also for improving the quality of care of
their patients. Consequently, such actions produce a dramatic impact in
achieving cost containment.
For more details, a Free Trial or
Webinar call : 305-227-2383 or
1-877-938-9311
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