tci Medicare Compliance & Reimbursement - 2007 Issue 19

PQRI: Look For Instances Of Your Doctors Providing Care Outside Their Specialties

You won't know if you're meeting PQRI requirements, but you can prepare.It's confusing and over-complicated, but your practice's financial health may depend on it. The Physician Quality Reporting Initiative (PQRI) starts in just over a month, and you'll need to know how to bill enough category II quality codes to receive the 1.5-percent bonus from Medicare. Here are some more PQRI tips that Centers for Medicare & Medicaid Services (CMS) officials spilled during a recent physician open door forum and a PQRI conference call in April: · When you're figuring out which claims to match up with...

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